Individual provider Active NPI

Richard Dwork, LMSW

  • Social Worker
  • Amityville, NY
National Provider Identifier
1265073829
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
082108 Issued in NY
Practice address
201 Dixon Ave
Amityville, NY 11701-2994
Phone
(631) 691-5100
NPI assigned
Oct 4, 2019
Last updated
Oct 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 082108 NY Primary

Addresses

Primary practice location

201 Dixon Ave
Amityville, NY 11701-2994

Mailing address

PO Box 653
Levittown, NY 11756-0653
Phone (516) 567-6781

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dworkr@hfyny.org

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

LicenseStateTypeSpecialty
082108NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1265073829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117560653",
            "telephone_number": "516-567-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DIXON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012994",
            "telephone_number": "631-691-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORK",
        "first_name": "RICHARD",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "082108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dworkr@hfyny.org",
            "affiliation": "N",
            "address_1": "201 Dixon Ave",
            "city": "Amityville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117012994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.