Individual provider Active NPI

Adam J Weitz, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1427285279
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P70505 Issued in NY
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

Updated by the provider on Jan 6, 2014

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 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

LicenseStateTypeSpecialty
P70505NYMDClinical 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.

Verify at the official NPI Registry.