Active NPI
Nicholas Stern, LCSW
- Clinical Social Worker
- New York City, NY
National Provider Identifier
1235297573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R045934-1
- Practice address
- 119 W 57TH Street
Suite 1100
New York City, NY 10019 - Phone
- (212) 666-5532
- NPI assigned
- Dec 5, 2006
- 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 | R045934-1 | NY | Primary |
Addresses
Primary practice location
119 W 57TH Street
Suite 1100
New York City, NY 10019
Mailing address
299 Riverside Drive
Apt 8D
New York City, NY 10025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163639 | Other | NY | VALUEOPTIONS |
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 |
|---|---|---|---|
| R045934-1 | NY | MD | Clinical Social Worker |
| 045934 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235297573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 RIVERSIDE DRIVE",
"address_2": "APT 8D",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 W 57TH STREET",
"address_2": "SUITE 1100",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "10019",
"telephone_number": "212-666-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "NICHOLAS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R045934-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "163639",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York City, NY
- Carol Spero, LCSW
- Sports Physical Therapy Occupational Therapy and Rehabilitation Servic
- Hannah Murray Starobin, LCSW-R
- Michele Lynn Stead, PHYSICIAN ASSISTANT
- Jennifer V Stern, RPA
- Norman Lewis Straker, MD
- Richard Alan Strauss, MSW LCSW
- Sabrina M. Strickland, M.D.
- Vincent Sun, M.D.
- Mench Marie Malagar Suner Pilones, OTR, MAOT
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.