Active NPI
Vera Ivanova
- Clinical Social Worker
- New York, NY
National Provider Identifier
1184512980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 219 E 85TH St Apt 1Re
New York, NY 10028-3066 - Phone
- (917) 913-4833
- NPI assigned
- Jun 27, 2025
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
219 E 85TH St Apt 1Re
New York, NY 10028-3066
Mailing address
219 E 85TH St Apt 1Re
New York, NY 10028-3066
Phone (917) 913-4833
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1184512980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 E 85TH ST APT 1RE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283066",
"telephone_number": "917-913-4833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 E 85TH ST APT 1RE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283066",
"telephone_number": "917-913-4833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANOVA",
"first_name": "VERA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-27",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.