Individual provider Active NPI

Shari Trudy Rosenblatt, C.S.W.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1073714150
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
028935SR Issued in NY
Practice address
144 W 27TH St
Sute 10R
New York, NY 10001-6214
Phone
(212) 255-5795
Fax
(212) 255-5795
NPI assigned
May 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 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 028935SR NY Primary

Addresses

Primary practice location

144 W 27TH St
Sute 10R
New York, NY 10001-6214

Mailing address

144 W 27TH St
Suite 10R
New York, NY 10001-6214
Phone (212) 255-5795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160827000018 NY Practitioner - Clinical Social Worker 0941595151 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

144 W 27TH St
RM 10R
New York, NY 10001-6235
Phone (212) 255-5795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028935SRNYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073714150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W 27TH ST",
            "address_2": "SUITE 10R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016214",
            "telephone_number": "212-255-5795",
            "fax_number": "212-255-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W 27TH ST",
            "address_2": "SUTE 10R",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100016214",
            "telephone_number": "212-255-5795",
            "fax_number": "212-255-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "SHARI",
        "middle_name": "TRUDY",
        "name_prefix": "Ms.",
        "credential": "C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "028935SR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.