Individual provider Active NPI

Tziporah Twersky Yenowitz, LCSW

  • Clinical Social Worker
  • Flushing, NY
National Provider Identifier
1407935612
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
029232 Issued in NY
Practice address
15044 77TH Ave
Flushing, NY 11367-3126
Phone
(718) 591-2999
Fax
(631) 980-4140
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 029232 NY Primary

Addresses

Primary practice location

15044 77TH Ave
Flushing, NY 11367-3126

Mailing address

15044 77TH Ave
Flushing, NY 11367-3126
Phone (718) 591-2999

Other identifiers 2

IdentifierTypeStateIssuer
094665OtherNYVALUE OPTIONS
74060425OtherNYGHI

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

LicenseStateTypeSpecialty
029232NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407935612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15044 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673126",
            "telephone_number": "718-591-2999",
            "fax_number": "631-980-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15044 77TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673126",
            "telephone_number": "718-591-2999",
            "fax_number": "631-980-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENOWITZ",
        "first_name": "TZIPORAH",
        "middle_name": "TWERSKY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "029232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "094665",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "74060425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.