Individual provider Active NPI

Helaine Eisenberg, SOCIAL WORKER

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1366001463
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R02297-9 Issued in NY
Practice address
285 W End Ave Ste 3Yr
New York, NY 10023-2504
Phone
(212) 831-7671
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 R02297-9 NY Primary

Addresses

Primary practice location

285 W End Ave Ste 3Yr
New York, NY 10023-2504

Mailing address

530 E 90TH St Apt 2C
New York, NY 10128-7913
Phone (213) 831-7671

Other practice location 1

530 E 90th St Apt 2C
New York, NY 10128-7913
Phone (212) 831-7671

Other identifiers 3

IdentifierTypeStateIssuer
R029927-1OtherNYSOCIAL WORK LICENCE
NONEOtherNONE
R029927-1OtherSOCIAL WORKER LIVENCE

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R02297-9NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1366001463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 90TH ST APT 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101287913",
            "telephone_number": "213-831-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W END AVE STE 3YR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232504",
            "telephone_number": "212-831-7671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 E 90th St Apt 2C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101287913",
            "country_code": "US",
            "telephone_number": "212-831-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISENBERG",
        "first_name": "HELAINE",
        "name_prefix": "Ms.",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R02297-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENCE",
            "identifier": "R029927-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LIVENCE",
            "identifier": "R029927-1",
            "state": null
        }
    ],
    "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 Jun 12, 2019; 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.