Individual provider Active NPI

Joan Diane Winograd, L.C.S.W,

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1063547487
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO27978-1 Issued in NY
Practice address
140 Riverside Dr
Suite 1a
New York, NY 10024-2605
Phone
(212) 362-4003
Fax
(212) 362-4035
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RO27978-1 NY Primary

Addresses

Primary practice location

140 Riverside Dr
Suite 1a
New York, NY 10024-2605

Mailing address

607 W End Ave
Apt. 10a
New York, NY 10024-1606
Phone (212) 362-4003

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
RO27978-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063547487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W END AVE",
            "address_2": "APT. 10A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241606",
            "telephone_number": "212-362-4003",
            "fax_number": "212-362-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 RIVERSIDE DR",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100242605",
            "telephone_number": "212-362-4003",
            "fax_number": "212-362-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINOGRAD",
        "first_name": "JOAN",
        "middle_name": "DIANE",
        "credential": "L.C.S.W,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO27978-1",
            "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 Jul 8, 2007; 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.