Individual provider Active NPI

Evan Seiden, LCSW

  • Clinical Social Worker
  • East Greenbush, NY
National Provider Identifier
1053735456
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082736-1 Issued in NY
Practice address
77 Troy Rd Ste 2
East Greenbush, NY 12061-1330
Phone
(518) 596-9488
Fax
(518) 478-8015
NPI assigned
Feb 6, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 082736-1 NY Primary

Addresses

Primary practice location

77 Troy Rd Ste 2
East Greenbush, NY 12061-1330

Mailing address

1600 7TH Ave
Troy, NY 12180-3410
Phone (518) 270-2800

Other practice location 1

1600 7th Ave
Troy, NY 12180-3410
Phone (518) 270-2800

Other identifiers 1

IdentifierTypeStateIssuer
0921912OtherNYLCSW R

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
082736-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Highpoint Licensed Clinical Social Work PLLC CurrentSince Sep 13, 2020 Accepting new patients

Locations

77 Troy Rd
Ste 2
East Greenbush, NY 12061
Phone (518) 596-9488

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": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1053735456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410",
            "telephone_number": "518-270-2800",
            "fax_number": "518-270-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 TROY RD STE 2",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611330",
            "telephone_number": "518-596-9488",
            "fax_number": "518-478-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121803410",
            "country_code": "US",
            "telephone_number": "518-270-2800",
            "fax_number": "518-270-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIDEN",
        "first_name": "EVAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082736-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW R",
            "identifier": "0921912",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

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