Active NPI
Ricky Weng, LMSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1386436871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 127766
- Practice address
- 1115 Broadway Ste 1213
New York, NY 10010-3450 - Phone
- (917) 722-2392
- NPI assigned
- May 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SL07305100 | NJ | |
| Clinical Social Worker | 1041C0700X | 127766 | NY | Primary |
Addresses
Primary practice location
1115 Broadway Ste 1213
New York, NY 10010-3450
Mailing address
PO Box 25
New York, NY 10002-0025
Phone (774) 993-4447
Other practice location 1
590 Flatbush Ave Apt 14S
Brooklyn, NY 11225-4994
Phone (917) 722-2392
Other practice location 2
101 Hudson St Ste 2100
Jersey City, NJ 07302-3929
Phone (917) 722-2392
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL07305100 | NJ | MD | Clinical Social Worker |
| 127766 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberation-Based Therapy LCSW PLLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1255926176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1386436871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100020025",
"telephone_number": "774-993-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BROADWAY STE 1213",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103450",
"telephone_number": "917-722-2392"
}
],
"practiceLocations": [
{
"address_1": "590 Flatbush Ave Apt 14S",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112254994",
"country_code": "US",
"telephone_number": "917-722-2392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Hudson St Ste 2100",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073023929",
"country_code": "US",
"telephone_number": "917-722-2392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENG",
"first_name": "RICKY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-07-03",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SL07305100",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "127766",
"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 Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.