Active NPI
Shoshana Peyser, LCSW-R, PHD
- Social Worker
- White Plains, NY
National Provider Identifier
1285874420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R037821-1
- Practice address
- 1241 Mamaroneck Ave
White Plains, NY 10605-5201 - Phone
- (917) 686-9380
- NPI assigned
- Feb 28, 2009
- Reactivated
- Dec 28, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R037821-1 | NY | Primary |
Addresses
Primary practice location
1241 Mamaroneck Ave
White Plains, NY 10605-5201
Mailing address
1241 Mamaroneck Ave.
White Plains, NY 10605
Phone (917) 686-9380
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090603000067 | NY | Practitioner - Clinical Social Worker | 1254481807 | Practice locations: White Plains, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14 Overlook Rd
White Plains, NY 10605-2409
Phone (917) 686-9380
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R037821-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1285874420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 MAMARONECK AVE.",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "10605",
"telephone_number": "917-686-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 MAMARONECK AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055201",
"telephone_number": "917-686-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYSER",
"first_name": "SHOSHANA",
"name_prefix": "Dr.",
"credential": "LCSW-R, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-28",
"last_updated": "2013-01-03",
"deactivation_date": "2012-08-14",
"reactivation_date": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R037821-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.