AISHA NYARI IDDRISU LCSW
NPI 1861164634
Social Worker - Clinical in Bronx, NY

Active since September 30, 2021PECOS Enrolled
1894 WALTON AVE, BRONX, NY 10453(717) 583-3060 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2025, Oct 1, 2021 (2 updates tracked since 2021).

About Aisha Nyari Iddrisu Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AISHA NYARI IDDRISU LCSW (NPI 1861164634) is an individual clinical provider in Bronx, New York, licensed in New York (101510) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861164634
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAISHA NYARI IDDRISUCredential: LCSW
Location Address1894 WALTON AVEBronx, NY 10453-6018
Mailing Address1276 Fulton AveBronx, NY 10456-3467 · (718) 992-7669
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 30, 2021
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
NPI 1861164634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 101510
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 111661 (NY)
1894 WALTON AVE, Bronx, NY 10453

Secondary Practice Location 1

Location 11276 Fulton AveBronx, NY 10456-3467 · Phone (718) 992-7669

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aisha Nyari Iddrisu Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193211456
PECOS Enrollment IDI20260107000278
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453
Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453
Dentist
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Family Medicine
1894 WALTON AVE
BRONX, NY 10453
Social Worker (Clinical)
1894 WALTON AVE
BRONX, NY 10453
Nurse Practitioner (Family)
1894 WALTON AVE
BRONX, NY 10453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aisha Nyari Iddrisu's NPI number?

The NPI number for Aisha Nyari Iddrisu is 1861164634. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Aisha Nyari Iddrisu located?

Aisha Nyari Iddrisu practices at 1894 Walton Ave, Bronx, NY 10453. The listed phone number is (717) 583-3060.

What is Aisha Nyari Iddrisu's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Aisha Nyari Iddrisu enrolled in Medicare?

Yes. Aisha Nyari Iddrisu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Aisha Nyari Iddrisu was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.