Active NPI
Crystal Zeikowitz, LCSW
- Social Worker
- Mohegan Lake, NY
National Provider Identifier
1114481074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 087890
- Practice address
- 90 New Chalet Dr
Mohegan Lake, NY 10547-1665 - Phone
- (914) 584-2119
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 087890 | NY | Primary |
Addresses
Primary practice location
90 New Chalet Dr
Mohegan Lake, NY 10547-1665
Mailing address
90 New Chalet Dr
Mohegan Lake, NY 10547-1665
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211130000501 | NY | Order and Referring Only - Clinical Social Worker | 6204226665 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087890 | NY | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586304000000",
"number": "1114481074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 NEW CHALET DR",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 NEW CHALET DR",
"city": "MOHEGAN LAKE",
"state": "NY",
"postal_code": "105471665",
"telephone_number": "914-584-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEIKOWITZ",
"first_name": "CRYSTAL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2020-04-08",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "087890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mohegan Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.