Individual provider Active NPI

Beth A Waldorf, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1376147116
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
108389 Issued in NY
Practice address
2578 Broadway Ste 5362578
New York, NY 10025-5642
Phone
(518) 526-9950
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Social Worker 104100000X 108389 NY Primary

Addresses

Primary practice location

2578 Broadway Ste 5362578
New York, NY 10025-5642

Mailing address

PO Box 12102
Albany, NY 12212-2102
Phone (518) 526-9950

Other names 1

  • Beth A Landau Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231026003499 NY Practitioner - Clinical Social Worker 1456707421 Reassigns benefits to 1 organization
I20250203002820 NJ Practitioner - Clinical Social Worker 1456707421

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpresent Psychiatry PCGroup PAC ID 4981081601, 14 clinicians

Practice addresses (Care Compare)

442 5TH Ave
Suite 1983
New York, NY 10018-2794
Phone (212) 564-0480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108389NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rappore Medicine PC CurrentSince Nov 1, 2023 Accepting new patients
Rappore Medicine NJ PC CurrentSince Dec 22, 2024 Accepting new patients
Inpresent Psychiatry PC CurrentSince Nov 1, 2023 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

442 5th Ave
#1983
New York, NY 10018
Phone (212) 564-0480

Interoperability endpoints

  • Direct secure messaging: beth.waldorf.1@25072.direct.athenahealth.com
  • Direct secure messaging: beth.waldorf.2@25072.direct.athenahealth.com

Organizations & group practices 3

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1376147116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122122102",
            "telephone_number": "518-526-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2578 BROADWAY STE 5362578",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255642",
            "telephone_number": "518-526-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDORF",
        "first_name": "BETH",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "LANDAU",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.