Individual provider Active NPI

Renata Violetta Novak Ziarnik, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1184737645
Registry record updated Mar 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070918 Issued in NY
Practice address
20 W 20TH St
Floor 2, Suite 232
New York, NY 10011-4213
Phone
(646) 420-9998
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2017

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 070918 NY Primary

Addresses

Primary practice location

20 W 20TH St
Floor 2, Suite 232
New York, NY 10011-4213

Mailing address

20 W 20TH St
Floor 2, Suite 232
New York, NY 10011-4213
Phone (646) 420-9998

Other identifiers 1

IdentifierTypeStateIssuer
00070918MedicaidNY

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
I20061103000270 NY Practitioner - Clinical Social Worker 9133126162 Practice locations: New York, NY; Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 W 20TH St
Floor 2 Suite 224
New York, NY 10011-4213
Phone (646) 420-9998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070918NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488672000000",
    "number": "1184737645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W 20TH ST",
            "address_2": "FLOOR 2, SUITE 232",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114213",
            "telephone_number": "646-420-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W 20TH ST",
            "address_2": "FLOOR 2, SUITE 232",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114213",
            "telephone_number": "646-420-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK ZIARNIK",
        "first_name": "RENATA",
        "middle_name": "VIOLETTA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00070918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.