Active NPI
George Peter Embiricos, LCSW, CPTT
- Clinical Social Worker
- New York, NY
National Provider Identifier
1083448872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098331
- Practice address
- 29 Bethune St Apt 3
New York, NY 10014-1724 - Phone
- (917) 667-1543
- NPI assigned
- Aug 26, 2024
- Last updated
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 098331 | NY | Primary |
Addresses
Primary practice location
29 Bethune St Apt 3
New York, NY 10014-1724
Mailing address
29 Bethune St Apt 3
New York, NY 10014-1724
Phone (917) 667-1543
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
| License | State | Type | Specialty |
|---|---|---|---|
| 098331 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1083448872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 BETHUNE ST APT 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100141724",
"telephone_number": "917-667-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 BETHUNE ST APT 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100141724",
"telephone_number": "917-667-1543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMBIRICOS",
"first_name": "GEORGE",
"middle_name": "PETER",
"credential": "LCSW, CPTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-26",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "098331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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- Embodied Minds Public Speaking Consultants, LLC
- Embrace Acupuncture PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.