Active NPI
Zotica Medina
- Clinical Social Worker
- Tarrytown, NY
National Provider Identifier
1164829065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 092620
- Practice address
- 580 White Plains Rd
Tarrytown, NY 10591-5198 - Phone
- (914) 345-5900
- NPI assigned
- Nov 21, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088720-1 | NY | |
| Clinical Social Worker | 1041C0700X | 092620 | NY | Primary |
Addresses
Primary practice location
580 White Plains Rd
Tarrytown, NY 10591-5198
Mailing address
580 White Plains Rd
Tarrytown, NY 10591-5198
Phone (914) 345-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088720-1 | NY | MD | Clinical Social Worker |
| 092620 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven Blauner PLLC | Clinical | Current | Accepting new patients |
| The Mental Health Association of Westchester County - Social Care Network | Past | Accepting new patients |
Locations
344 E Main St
Ste 301
Mount Kisco, NY 10549
Phone (914) 263-7240
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.
-
- Clinical Social Worker
- Weston, CT
- NPI 1164159372
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1164829065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915198",
"telephone_number": "914-345-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 WHITE PLAINS RD",
"city": "TARRYTOWN",
"state": "NY",
"postal_code": "105915198",
"telephone_number": "914-345-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "ZOTICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088720-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "092620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarrytown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.