Individual provider Active NPI

Jeffrey Michael Spitz, LCSW

  • Clinical Social Worker
  • Newburgh, NY
National Provider Identifier
1306184312
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
172 Liberty St
Newburgh, NY 12550-4912
Phone
(845) 342-5941
Fax
(845) 344-2604
NPI assigned
Jan 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

172 Liberty St
Newburgh, NY 12550-4912

Mailing address

172 Liberty Street
Newburgh, NY 12550
Phone (845) 342-5941

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
I20230316001787 NY Practitioner - Clinical Social Worker 0941674899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

123 Pike St
Port Jervis, NY 12771-1824
Phone (845) 856-7576

172 -178 Liberty St
Newburgh, NY 12550-4912
Phone (845) 561-5783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070688NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Management Corp Current Accepting new patients
Restorative Management Corp CurrentSince Feb 20, 2023 Accepting new patients

Locations

3839 Flatlands Ave
Ste 200
Brooklyn, NY 11234
Phone (917) 905-9225

123 Pike St
Port Jervis, NY 12771
Phone (845) 856-6609

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1306184312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LIBERTY STREET",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-342-5941",
            "fax_number": "845-344-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 LIBERTY ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125504912",
            "telephone_number": "845-342-5941",
            "fax_number": "845-344-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZ",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.