Individual provider Active NPI

Gloria Zicht, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1104906973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0007966-1 Issued in NY
Practice address
120 W 57TH St
New York, NY 10019-3320
Phone
(212) 632-4634
NPI assigned
Oct 16, 2006
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 PR0007966-1 NY Primary

Addresses

Primary practice location

120 W 57TH St
New York, NY 10019-3320

Mailing address

845 W End Ave
New York, NY 10025-8435
Phone (212) 222-1999

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
I20070412000650 NY Practitioner - Clinical Social Worker 0749207421 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1961
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Graduate Center for Mental HealthGroup PAC ID 9537050729, 15 clinicians
The Bridge, Inc.Group PAC ID 3476576273, 11 clinicians

Practice addresses (Care Compare)

134 E 177TH St
Bronx, NY 10453-5902
Phone (212) 665-1860

213 W 35TH St
RM 403
New York, NY 10001-0215
Phone (212) 576-4104

248 W 108TH St
New York, NY 10025-2956
Phone (212) 663-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0007966-1NYMDClinical Social Worker
007966NYMDCritical Care Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Duane Reade Past Accepting new patients

Locations

248 W 108th St
New York, NY 10025
Phone (212) 663-3001

290 Lenox Ave
Fl 3
New York, NY 10027
Phone (870) 476-6003

Organizations & group practices 3

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104906973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100258435",
            "telephone_number": "212-222-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193320",
            "telephone_number": "212-632-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHT",
        "first_name": "GLORIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0007966-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.