Individual provider Active NPI

Muriel Ann Radocchio, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1447583133
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
008595 Issued in CT
Practice address
225 Broadway Ste 1605
New York, NY 10007
Phone
(212) 693-4010
NPI assigned
Sep 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 083688 NY
Clinical Social Worker 1041C0700X 008595 CT Primary

Addresses

Primary practice location

225 Broadway Ste 1605
New York, NY 10007

Mailing address

14 E 28TH St
New York, NY 10016-7448
Phone (212) 471-0788

Other practice location 1

35 Elm St
Naugatuck, CT 06770-4127
Phone (203) 723-4133

Other practice location 2

14 E 28th St
New York, NY 10016-7448
Phone (212) 471-0788

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
008595CTMDClinical Social Worker
083688NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ices Inc. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1447583133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 28TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167448",
            "telephone_number": "212-471-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 BROADWAY STE 1605",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-693-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Elm St",
            "address_purpose": "LOCATION",
            "city": "Naugatuck",
            "state": "CT",
            "postal_code": "067704127",
            "country_code": "US",
            "telephone_number": "203-723-4133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 E 28th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100167448",
            "country_code": "US",
            "telephone_number": "212-471-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADOCCHIO",
        "first_name": "MURIEL",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083688",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008595",
            "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 Nov 15, 2018; 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.