Active NPI
Frederick Nenner, MSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1174675607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR009954-1
- Practice address
- 131 Riverside Dr
New York, NY 10024-3713 - Phone
- (212) 799-7882
- Fax
- (212) 769-2661
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR009954-1 | NY | Primary |
Addresses
Primary practice location
131 Riverside Dr
New York, NY 10024-3713
Mailing address
131 Riverside Dr
New York, NY 10024-3713
Phone (212) 799-7882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR009954-1 | Other | NY | STATE LICENSURE -LCSW |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR009954-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174675607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 RIVERSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243713",
"telephone_number": "212-799-7882",
"fax_number": "212-769-2661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 RIVERSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243713",
"telephone_number": "212-799-7882",
"fax_number": "212-769-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NENNER",
"first_name": "FREDERICK",
"name_prefix": "Mr.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR009954-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE -LCSW",
"identifier": "PR009954-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.