Individual provider Active NPI

Michael Kariyev, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1053728022
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084678 Issued in NY
Practice address
330 W 38TH St RM 705
New York, NY 10018-2515
Phone
(631) 464-0332
Fax
(516) 736-8551
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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 084678 NY Primary

Addresses

Primary practice location

330 W 38TH St RM 705
New York, NY 10018-2515

Mailing address

10 Hazel PL
Woodmere, NY 11598-1108
Phone (631) 464-0332

Other practice location 1

10 Hazel Pl
Woodmere, NY 11598-1108
Phone (631) 464-0332

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
084678NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1053728022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HAZEL PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981108",
            "telephone_number": "631-464-0332",
            "fax_number": "516-736-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 38TH ST RM 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100182515",
            "telephone_number": "631-464-0332",
            "fax_number": "516-736-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Hazel Pl",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981108",
            "country_code": "US",
            "telephone_number": "631-464-0332",
            "fax_number": "516-736-8551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARIYEV",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084678",
            "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 Apr 27, 2024; 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.