Individual provider Active NPI

Evan Flamenbaum, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1437392123
Registry record updated Apr 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
077439 Issued in NY
Practice address
1490 2ND Ave
New York, NY 10075-1350
Phone
(917) 603-5567
NPI assigned
Apr 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2009

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 077439 NY Primary

Addresses

Primary practice location

1490 2ND Ave
New York, NY 10075-1350

Mailing address

219 E 72ND St
New York, NY 10021-4556
Phone (917) 603-5567

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

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239408000000",
    "number": "1437392123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E 72ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214556",
            "telephone_number": "917-603-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751350",
            "telephone_number": "917-603-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAMENBAUM",
        "first_name": "EVAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-11",
        "last_updated": "2009-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077439",
            "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 Apr 11, 2009; 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.