Active NPI
Xiaofeng Wang Koswatta, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1033788492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 099177
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06628600 | NJ | MD | Clinical Social Worker |
| 099177 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Family Services, Inc | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.