Individual provider Active NPI

Janie Eisenberg, L.C.S.W.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1104918317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R038355-1 Issued in NY
Practice address
24 Charlton St
New York, NY 10014-4923
Phone
(212) 243-1086
NPI assigned
Sep 28, 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 R038355-1 NY Primary

Addresses

Primary practice location

24 Charlton St
New York, NY 10014-4923

Mailing address

24 Charlton St
New York, NY 10014-4923
Phone (212) 243-1086

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
I20040421001848 NY Practitioner - Clinical Social Worker 2668468091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Charlton St
New York, NY 10014-4923
Phone (212) 243-1086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R038355-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Janie Eisenberg, LCSW, PLLC CurrentSince Sep 1, 2005 Accepting new patients
Postgraduate Center for Mental Health PastSince Aug 1, 2025 Accepting new patients

Locations

250 W 65th St
New York, NY 10023
Phone (212) 889-2418

Organizations & group practices 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104918317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CHARLTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144923",
            "telephone_number": "212-243-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CHARLTON ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100144923",
            "telephone_number": "212-243-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "JANIE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038355-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.