Individual provider Active NPI

Sararivka Liberman, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1437234549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R 030882-1 Issued in NY
Practice address
1273 53Rd St
4TH Floor
Brooklyn, NY 11219-3820
Phone
(718) 435-5700
Fax
(718) 854-5495
NPI assigned
Oct 26, 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 R 030882-1 NY Primary

Addresses

Primary practice location

1273 53Rd St
4TH Floor
Brooklyn, NY 11219-3820

Mailing address

1368 E 18TH St
Apt. # 1F
Brooklyn, NY 11230-7564
Phone (718) 645-2286

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
I20041020001387 NY Practitioner - Clinical Social Worker 1557322716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Columbia University College of Physicians and Surgeons, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R 030882-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Apr 8, 2019 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Apr 8, 2019 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

Organizations & group practices 3

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437234549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 E 18TH ST",
            "address_2": "APT. # 1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307564",
            "telephone_number": "718-645-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 53RD ST",
            "address_2": "4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193820",
            "telephone_number": "718-435-5700",
            "fax_number": "718-854-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBERMAN",
        "first_name": "SARARIVKA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R 030882-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.