Active NPI
Adam J Weitz, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1427285279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P70505
- Practice address
- 171 Madison Ave
Suite 1000
New York, NY 10016-5110 - Phone
- (917) 288-1304
- NPI assigned
- Jun 19, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P70505 | NY | Primary |
Addresses
Primary practice location
171 Madison Ave
Suite 1000
New York, NY 10016-5110
Mailing address
31 Union SQ W Apt 10D
New York, NY 10003-3204
Phone (917) 478-0350
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 |
|---|---|---|---|
| P70505 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1427285279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 UNION SQ W APT 10D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033204",
"telephone_number": "917-478-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MADISON AVE",
"address_2": "SUITE 1000",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165110",
"telephone_number": "917-288-1304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZ",
"first_name": "ADAM",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-19",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P70505",
"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 Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.