Organization Active NPI

Liza Mordkovich Counseling

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1336866300
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 9, 2023

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.