Individual provider Active NPI

Xiaofeng Wang Koswatta, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1033788492
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099177 Issued in NY
Practice address
329 E 62ND St
New York, NY 10065-7769
Phone
(917) 475-6638
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06628600 NJ
Clinical Social Worker 1041C0700X 099177 NY Primary

Addresses

Primary practice location

329 E 62ND St
New York, NY 10065-7769

Mailing address

400 Central Park W Apt 17Y
New York, NY 10025-5854
Phone (917) 475-6638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306002809 NY Practitioner - Clinical Social Worker 9739661836 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

329 E 62ND St
New York, NY 10065-7769
Phone (917) 475-6638

400 Central Park W
Apt 17Y
New York, NY 10025-5854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06628600NJMDClinical Social Worker
099177NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harlem Family Services, Inc Clinical CurrentSince Aug 1, 2022 Accepting new patients

Locations

15 W 39th St
Fl 2
New York, NY 10018
Phone (212) 564-6006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1033788492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CENTRAL PARK W APT 17Y",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255854",
            "telephone_number": "917-475-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 E 62ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657769",
            "telephone_number": "917-475-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSWATTA",
        "first_name": "XIAOFENG",
        "middle_name": "WANG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06628600",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.