Active NPI
Jeffrey Michael Spitz, LCSW
- Clinical Social Worker
- Newburgh, NY
National Provider Identifier
1306184312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070688 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restorative Management Corp | Current | Accepting new patients | |
| Restorative Management Corp | Current | 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.
-
- Substance Abuse Rehabilitation Facility
- Middletown, NY
- NPI 1043385578
-
- Community/Behavioral Health Agency
- Middletown, NY
- NPI 1285888313
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.