Individual provider Active NPI

Scott S. Altabet, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1467551226
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R032717 Issued in NY
Practice address
2436 Eastchester Rd
Bronx, NY 10469-5916
Phone
(917) 208-4273
Fax
(914) 713-0337
NPI assigned
Sep 21, 2006
Last updated
Jul 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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 R032717 NY Primary

Addresses

Primary practice location

2436 Eastchester Rd
Bronx, NY 10469-5916

Mailing address

PO Box 708
Mamaroneck, NY 10543-0708
Phone (917) 208-4273

Other identifiers 1

IdentifierTypeStateIssuer
04973328MedicaidNY

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
I20040902001097 NY Practitioner - Clinical Social Worker 8527034313 Reassigns benefits to 1 organization
Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Harwood CT
Suite 409
Scarsdale, NY 10583-4120
Phone (914) 723-3281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R032717NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Scarsdale Edgemont Family Counseling Service CurrentSince Oct 8, 2024 Accepting new patients
Patricia Ann Schreuder, LCSW PC Clinical PastSince Jan 15, 2018 Accepting new patients
Bronx Individual & Family Psychology LLC PastSince Jul 20, 2021 Accepting new patients

Locations

14 Harwood Ct
Ste 409
Scarsdale, NY 10583
Phone (914) 645-7046

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1467551226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105430708",
            "telephone_number": "917-208-4273",
            "fax_number": "718-904-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 EASTCHESTER RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104695916",
            "telephone_number": "917-208-4273",
            "fax_number": "914-713-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTABET",
        "first_name": "SCOTT",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04973328",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.