Individual provider Active NPI

Nataliya Rusetskaya, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1366655326
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
068024 Issued in NY
Practice address
113 University PL FL 9
New York, NY 10003-4527
Phone
(917) 495-4989
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 068024 NY Primary

Addresses

Primary practice location

113 University PL FL 9
New York, NY 10003-4527

Mailing address

240 Christopher St
Montclair, NJ 07043-1703
Phone (917) 495-4989

Other practice location 1

132 Washington St Ste 301
Hoboken, NJ 07030-4616
Phone (917) 495-4989

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
068024NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Key2Connection Relationship Health Center PC Clinical Current Accepting new patients

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1366655326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CHRISTOPHER ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431703",
            "telephone_number": "917-495-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 UNIVERSITY PL FL 9",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034527",
            "telephone_number": "917-495-4989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Washington St Ste 301",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "070304616",
            "country_code": "US",
            "telephone_number": "917-495-4989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSETSKAYA",
        "first_name": "NATALIYA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "068024",
            "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 Apr 18, 2018; 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.