Active NPI
Liza Mordkovich Counseling
- Clinical Social Worker
- Albany, NY
National Provider Identifier
1336866300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LIZA MORDKOVICH COUNSELING
- Practice address
- 90 State St Ste 700
Albany, NY 12207-1707 - Phone
- (917) 983-2615
- Fax
- (866) 282-0569
- NPI assigned
- Oct 20, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Allen
- Title
- Compliance & Payer Services Manager
- Phone
- (917) 983-2615
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
90 State St Ste 700
Albany, NY 12207-1707
Mailing address
90 State St Ste 700
Albany, NY 12207-1707
Phone (917) 983-2615
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699488000000",
"number": "1336866300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 STATE ST STE 700",
"city": "ALBANY",
"state": "NY",
"postal_code": "122071707",
"telephone_number": "917-983-2615",
"fax_number": "866-282-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 STATE ST STE 700",
"city": "ALBANY",
"state": "NY",
"postal_code": "122071707",
"telephone_number": "917-983-2615",
"fax_number": "866-282-0569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIZA MORDKOVICH COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-20",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "COMPLIANCE & PAYER SERVICES MANAGER",
"authorized_official_telephone_number": "917-983-2615"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.