Individual provider Active NPI

Heather Lyn Paley, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1063562650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0736941 Issued in NY
Practice address
200 E 33Rd St Apt 31J
New York, NY 10016-4832
Phone
(212) 725-0192
Fax
(914) 285-5723
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 0736941 NY Primary

Addresses

Primary practice location

200 E 33Rd St Apt 31J
New York, NY 10016-4832

Mailing address

215 W 95TH St Apt 12J
New York, NY 10025-6356
Phone (212) 288-3771

Other identifiers 1

IdentifierTypeStateIssuer
1386686855OtherNYPSYCHIATRIST

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
0736941NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child & Family Medical, PLLC Clinical PastSince Jan 26, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063562650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 95TH ST APT 12J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256356",
            "telephone_number": "212-288-3771",
            "fax_number": "914-285-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 33RD ST APT 31J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164832",
            "telephone_number": "212-725-0192",
            "fax_number": "914-285-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALEY",
        "first_name": "HEATHER",
        "middle_name": "LYN",
        "name_prefix": "Prof.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0736941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIST",
            "identifier": "1386686855",
            "state": "NY"
        }
    ],
    "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.