Craig Podell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PRO25164-1 Issued in NY

Practice address

1921 Avenue K
Suite A5
Brooklyn, NY 11230-4961

Phone

(718) 258-1185

Fax

(973) 378-8553

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023162971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 EUCLID AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402121",
            "telephone_number": "973-378-8553",
            "fax_number": "973-378-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 AVENUE K",
            "address_2": "SUITE A5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304961",
            "telephone_number": "718-258-1185",
            "fax_number": "973-378-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODELL",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO25164-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00015300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerill Pochetuhen
• Barbora Pochylova
• Podcare
• Daniel Podd, RPA-C
• Diana Podd
• Robert M Podell, MD
• Leszek Podgorny, PHYSICAL THERAPY
• Jessica Podhaisky
• Oksana Podhayetska, LAC
• Joseph Richard Podhorzer, M.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.