Individual provider Active NPI

Joan Schwam Spielberg, LCSWR

  • Clinical Social Worker
  • Syosset, NY
National Provider Identifier
1285777938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0400181LCSW Issued in NY
Practice address
61 Calvin Ave
Syosset, NY 11791-2136
Phone
(516) 364-1966
Fax
(516) 364-1966
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0400181LCSW NY Primary

Addresses

Primary practice location

61 Calvin Ave
Syosset, NY 11791-2136

Mailing address

61 Calvin Ave
Syosset, NY 11791-2136
Phone (516) 364-1966

Other names 1

  • Ms. Joni Schwam Spielberg Professional name

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
R0400181LCSWNYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285777938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CALVIN AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912136",
            "telephone_number": "516-364-1966",
            "fax_number": "516-364-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALVIN AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117912136",
            "telephone_number": "516-364-1966",
            "fax_number": "516-364-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAM SPIELBERG",
        "first_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0400181LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "SCHWAM SPIELBERG",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Syosset, NY

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.

Verify at the official NPI Registry.