Nicole Alexandra Safer, LCSW
Individual provider Active NPI Clinical Social Worker · Dryden, NY
NPI 1154861763 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1154861763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 086327 (NY)
- Practice address
- 23 James Street
Apt. B
Dryden, NY 13053 - Phone
- (516) 477-5293
- NPI assigned
- Mar 1, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241126001562 | NY | Practitioner - Clinical Social Worker | 8527320910 | Practice locations: Ithaca, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 086327 | NY | Yes |
Addresses
Primary practice location
23 James Street
Apt. B
Dryden, NY 13053
Mailing address
23 James St Apt B
Dryden, NY 13053-9795
Phone (516) 788-8786
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CSW.09925181 | Other | CO | CSW |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicole.safer.p4@direct.clinicafamilyhealth.nextgenshare.com | Direct |
Other providers in Dryden, NY
- Allison Peyus
- Cynthia Lane Price
- Sabrina Quints
- Jessica Recckio
- William C Rich Jr.
- Shari Teeslink Shapleigh
- Christian Francis Sidle
- Lyndsey Jean Sidle
- Howard Silcoff
- Mason Michael Sopchak
All providers in Dryden, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.