Individual provider Active NPI

Cathleen Marie Rybak, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1174543359
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048818-1 Issued in NY
Practice address
80 East 11TH Street
#534
New York, NY 10003
Phone
(917) 514-1908
Fax
(212) 674-6774
NPI assigned
Jul 20, 2006
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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 R048818-1 NY Primary

Addresses

Primary practice location

80 East 11TH Street
#534
New York, NY 10003

Mailing address

149 Avenue a Apt. 5FN
New York, NY 10009
Phone (917) 514-1908

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
I20080214000450 NY Practitioner - Clinical Social Worker 8820171747

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

59 S St
Highland, NY 12528-2418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048818-1NYMDClinical Social Worker
048818NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Educational Alliance, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/aura_educational_alliance

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1174543359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 AVENUE A APT. 5FN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10009",
            "telephone_number": "917-514-1908",
            "fax_number": "212-674-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EAST 11TH STREET",
            "address_2": "#534",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "917-514-1908",
            "fax_number": "212-674-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAK",
        "first_name": "CATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048818-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.