Individual provider Active NPI

Lucy Zicherman, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1265152029
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
117411 Issued in NY
Practice address
1420 Ferris PL
Bronx, NY 10461-3611
Phone
(718) 730-1004
NPI assigned
Aug 31, 2022
Last updated
May 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Social Worker 104100000X 117411 NY Primary

Addresses

Primary practice location

1420 Ferris PL
Bronx, NY 10461-3611

Mailing address

1420 Ferris PL
Bronx, NY 10461-3611
Phone (917) 528-0381

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://institute.org/health-care/locations/access/

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
I20260415002865 NY Practitioner - Clinical Social Worker 0547736761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1420 Ferris Place
Suite 1
Bronx, NY 10461-3611

279 Main St
Suite 204
New Paltz, NY 12561-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117411NYMDSocial Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1265152029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 FERRIS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613611",
            "telephone_number": "917-528-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 FERRIS PL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613611",
            "telephone_number": "718-730-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHERMAN",
        "first_name": "LUCY",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-05-05",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "117411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://institute.org/health-care/locations/access/",
            "affiliation": "N",
            "address_1": "1420 Ferris Pl",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104613611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.