Individual provider Active NPI

Scott David Liff

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1356497309
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077597 Issued in NY
Practice address
30 E 20TH St
Suite 5F
New York, NY 10003-1310
Phone
(845) 661-8002
Fax
(845) 628-2777
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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 077597 NY Primary

Addresses

Primary practice location

30 E 20TH St
Suite 5F
New York, NY 10003-1310

Mailing address

521 W 135TH St
Apartment No. 5a
New York, NY 10031-8433
Phone (845) 661-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110211000111 NY Practitioner - Clinical Social Worker 0547440349 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30 E 20TH St
Suite 5F
New York, NY 10003-1310
Phone (845) 661-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077597NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scott David Liff Clinical PastSince Jan 25, 2013 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1356497309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W 135TH ST",
            "address_2": "APARTMENT NO. 5A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100318433",
            "telephone_number": "845-661-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 20TH ST",
            "address_2": "SUITE 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031310",
            "telephone_number": "845-661-8002",
            "fax_number": "845-628-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFF",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.