Individual provider Active NPI

Michael Woods, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1417486952
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
057548 Issued in NY
Practice address
139 W 111TH St Apt 6
New York, NY 10026-4214
Phone
(646) 251-3793
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 057548 NY Primary

Addresses

Primary practice location

139 W 111TH St Apt 6
New York, NY 10026-4214

Mailing address

139 W 111TH St Apt 6
New York, NY 10026-4214
Phone (646) 251-3793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180328000823 NY Practitioner - Clinical Social Worker 1658633821 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
057548NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Counseling LCSW, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Feb 18, 2018 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Feb 18, 2018 Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients

Locations

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

98120 Queens Blvd
Ste 1C
Rego Park, NY 11374
Phone (718) 268-9598

Organizations & group practices 4

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1417486952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W 111TH ST APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264214",
            "telephone_number": "646-251-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W 111TH ST APT 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264214",
            "telephone_number": "646-251-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "057548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.