Individual provider Active NPI

Leah Goldschmidt Rossner, MSW, ACSW

  • Clinical Social Worker
  • Nyack, NY
National Provider Identifier
1154544864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR018527-1 Issued in NY
Practice address
53 S Broadway
2ND Floor
Nyack, NY 10960-3834
Phone
(845) 358-6087
Fax
(845) 358-6087
NPI assigned
Apr 11, 2007
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 PR018527-1 NY Primary

Addresses

Primary practice location

53 S Broadway
2ND Floor
Nyack, NY 10960-3834

Mailing address

115 Pinecrest Pkwy
Hastings on Hudson, NY 10706-3703
Phone (845) 358-6087

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
I20110429000161 NY Practitioner - Clinical Social Worker 8325223746 Practice locations: Ardsley, NY; Nyack, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

115 Pinecrest Pkwy
Hastings on Hudson, NY 10706-3703

53 S Broadway
Nyack, NY 10960-3834
Phone (914) 693-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018527NYMDClinical Psychologist
PR018527-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154544864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINECREST PKWY",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107063703",
            "telephone_number": "845-358-6087",
            "fax_number": "845-358-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S BROADWAY",
            "address_2": "2ND FLOOR",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603834",
            "telephone_number": "845-358-6087",
            "fax_number": "845-358-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSNER",
        "first_name": "LEAH",
        "middle_name": "GOLDSCHMIDT",
        "name_prefix": "Ms.",
        "credential": "MSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR018527-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.