Individual provider Active NPI

Debra M Nozik, LCSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1104910058
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR026816-1 Issued in NY
Practice address
1740 Western Ave
Albany, NY 12203-4414
Phone
(518) 464-4440
Fax
(518) 464-4471
NPI assigned
Oct 3, 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 PR026816-1 NY Primary

Addresses

Primary practice location

1740 Western Ave
Albany, NY 12203-4414

Mailing address

1740 Western Ave
Albany, NY 12203-4414
Phone (518) 464-4440

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
I20111104000671 NY Practitioner - Clinical Social Worker 2860665924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Psychological Associates PCGroup PAC ID 2365334489, 3 clinicians

Practice addresses (Care Compare)

1740 Western Ave
Albany, NY 12203-4414
Phone (518) 464-4440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR026816-1NYMDClinical Social Worker
026816NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Psychological Associates PC CurrentSince Sep 1, 1995 Accepting new patients

Locations

1740 Western Ave
Albany, NY 12203
Phone (518) 438-0037

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104910058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034414",
            "telephone_number": "518-464-4440",
            "fax_number": "518-464-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034414",
            "telephone_number": "518-464-4440",
            "fax_number": "518-464-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZIK",
        "first_name": "DEBRA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR026816-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.