Active NPI
Barbara Ina Liberles-Soffer, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1306997762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- NYSPR012108
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC07605 | Other | NJ | NJ SOCIAL WORK LICENSE |
| NYSPR012108 | Other | NY | NYS SOCIAL WORK LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SC07605 | NJ | MD | Clinical Social Worker |
| NYSPR012108 | NY | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.