Individual provider Active NPI

David Y Pivovoz, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1366860066
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73-083636 Issued in NY
Practice address
7000 Bay Pkwy Ste F
Brooklyn, NY 11204-5509
Phone
(347) 446-9359
NPI assigned
Mar 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 084847-1 NY
Clinical Social Worker 1041C0700X 73-083636 NY Primary

Addresses

Primary practice location

7000 Bay Pkwy Ste F
Brooklyn, NY 11204-5509

Mailing address

1559 40TH St
Brooklyn, NY 11218-4415
Phone (718) 851-2514

Other practice location 1

1559 40th St
Brooklyn, NY 11218-4415
Phone (718) 851-2514

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
73-083636NYMDClinical Social Worker
084847-1NYMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1366860066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 40TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184415",
            "telephone_number": "718-851-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 BAY PKWY STE F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045509",
            "telephone_number": "347-446-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1559 40th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112184415",
            "country_code": "US",
            "telephone_number": "718-851-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIVOVOZ",
        "first_name": "DAVID",
        "middle_name": "Y",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "084847-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73-083636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.