Individual provider Active NPI

Olivia Korn, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1003447533
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
098293-1 Issued in NY
Practice address
4 Washington Square VLG Apt 1P
New York, NY 10012-1901
Phone
(404) 713-2886
NPI assigned
Feb 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 098293-1 NY Primary

Addresses

Primary practice location

4 Washington Square VLG Apt 1P
New York, NY 10012-1901

Mailing address

4 Washington Square VLG Apt 1P
New York, NY 10012-1901
Phone (404) 713-2886

Other practice location 1

594 Broadway Rm 907
New York, NY 10012-3289
Phone (404) 713-2886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
098293-1NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1003447533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WASHINGTON SQUARE VLG APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121901",
            "telephone_number": "404-713-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WASHINGTON SQUARE VLG APT 1P",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121901",
            "telephone_number": "404-713-2886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "594 Broadway Rm 907",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100123289",
            "country_code": "US",
            "telephone_number": "404-713-2886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORN",
        "first_name": "OLIVIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098293-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.