Individual provider Active NPI

Scott W. Stern, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1346460706
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
047060 Issued in NY
Practice address
407 Park Ave S
Suite 23E
New York, NY 10016-8414
Phone
(212) 935-7911
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

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 047060 NY Primary

Addresses

Primary practice location

407 Park Ave S
Suite 23E
New York, NY 10016-8414

Mailing address

407 Park Ave S
Suite 23E
New York, NY 10016-8414
Phone (212) 935-7911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
047060NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC CurrentSince Apr 5, 2018 Accepting new patients

Locations

333 Adams St
Bedford Hills, NY 10507
Phone (914) 241-0758

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346460706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 PARK AVE S",
            "address_2": "SUITE 23E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168414",
            "telephone_number": "212-935-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 PARK AVE S",
            "address_2": "SUITE 23E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168414",
            "telephone_number": "212-935-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "047060",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; 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.