Individual provider Active NPI

Helen Fosbery, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1316162589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR048356-1 Issued in NY
Practice address
915 Broadway
Suite 1200
New York, NY 10010-7108
Phone
(212) 473-1597
NPI assigned
Apr 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR048356-1 NY Primary

Addresses

Primary practice location

915 Broadway
Suite 1200
New York, NY 10010-7108

Mailing address

305 E 24TH St
#9A
New York, NY 10010-4011
Phone (212) 473-1597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 30, 2021 through Apr 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR048356-1NYMDClinical Social Worker
048356NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316162589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 24TH ST",
            "address_2": "#9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104011",
            "telephone_number": "212-473-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 BROADWAY",
            "address_2": "SUITE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107108",
            "telephone_number": "212-473-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBERY",
        "first_name": "HELEN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR048356-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.