Individual provider Active NPI

Yehudis Dede Kott, LCSW

  • Clinical Social Worker
  • Cedarhurst, NY
National Provider Identifier
1366794240
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090800-1 Issued in NY
Practice address
123 Maple Ave Ste 200
Cedarhurst, NY 11516-2240
Phone
(516) 522-0257
NPI assigned
Oct 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NY
Marriage & Family Therapist 106H00000X 090800-1 NY
Clinical Social Worker 1041C0700X 090800-1 NY Primary

Addresses

Primary practice location

123 Maple Ave Ste 200
Cedarhurst, NY 11516-2240

Mailing address

123 Maple Ave Ste 200
Cedarhurst, NY 11516-2240
Phone (516) 522-0257

Other practice location 1

1273 53rd St
4th floor
Brooklyn, NY 11219-3865
Phone (718) 435-5700 ext. 231

Other practice location 2

631 Beach 9th St Fl 6
Far Rockaway, NY 11691-5207
Phone (347) 528-0499

Other names 1

  • Yehudis Dede Schwarzmer Former name

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
090800-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366794240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE STE 200",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-522-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAPLE AVE STE 200",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162240",
            "telephone_number": "516-522-0257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1273 53rd St",
            "address_2": "4th floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112193865",
            "country_code": "US",
            "telephone_number": "718-435-5700 x231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Beach 9th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116915207",
            "country_code": "US",
            "telephone_number": "347-528-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTT",
        "first_name": "YEHUDIS",
        "middle_name": "DEDE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "090800-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEHUDIS",
            "last_name": "SCHWARZMER",
            "middle_name": "DEDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.