Individual provider Active NPI

Barbara Ina Liberles-Soffer, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1306997762
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NYSPR012108 Issued in NY
Practice address
252 W 85TH St
Suite 1B
New York, NY 10024-3244
Phone
(646) 505-1680
Fax
(201) 871-4775
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC07605 NJ
Clinical Social Worker 1041C0700X NYSPR012108 NY Primary

Addresses

Primary practice location

252 W 85TH St
Suite 1B
New York, NY 10024-3244

Mailing address

407 April Way
Middletown, NJ 07748-6510
Phone (201) 871-5896

Other identifiers 2

IdentifierTypeStateIssuer
SC07605OtherNJNJ SOCIAL WORK LICENSE
NYSPR012108OtherNYNYS SOCIAL WORK LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041030000023 NY Practitioner - Clinical Social Worker 3375505563 Practice locations: New York, NY
I20050405000516 NJ Practitioner - Clinical Social Worker 3375505563 Practice locations: Middletown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

252 W 85TH St
New York, NY 10024-3245
Phone (646) 505-1680

407 April Way
Middletown, NJ 07748-6510
Phone (201) 871-5896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC07605NJMDClinical Social Worker
NYSPR012108NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306997762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 APRIL WAY",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077486510",
            "telephone_number": "201-871-5896",
            "fax_number": "201-871-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 W 85TH ST",
            "address_2": "SUITE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243244",
            "telephone_number": "646-505-1680",
            "fax_number": "201-871-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERLES-SOFFER",
        "first_name": "BARBARA",
        "middle_name": "INA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC07605",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "NYSPR012108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ SOCIAL WORK LICENSE",
            "identifier": "SC07605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS SOCIAL WORK LICENSE",
            "identifier": "NYSPR012108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.