Individual provider Active NPI

Nina Chaifetz, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1053659375
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7392000 Issued in NY
Practice address
1133 Broadway Ste 529
New York, NY 10010-8095
Phone
(914) 505-6621
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7392000 NY Primary

Addresses

Primary practice location

1133 Broadway Ste 529
New York, NY 10010-8095

Mailing address

280 Dobbs Ferry Rd
303
White Plains, NY 10607-1900
Phone (917) 553-0091

Other practice location 1

280 Dobbs Ferry Rd
303
White Plains, NY 10607-1900
Phone (917) 553-0091

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
7392000NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1053659375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 DOBBS FERRY RD",
            "address_2": "303",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106071900",
            "telephone_number": "917-553-0091",
            "fax_number": "845-480-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY STE 529",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108095",
            "telephone_number": "914-505-6621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Dobbs Ferry Rd",
            "address_2": "303",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106071900",
            "country_code": "US",
            "telephone_number": "917-553-0091",
            "fax_number": "845-480-5116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAIFETZ",
        "first_name": "NINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "7392000",
            "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 Dec 18, 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.