Individual provider Active NPI

Zoya Odessky, LMSW

  • Social Worker
  • Englishtown, NJ
National Provider Identifier
1467801043
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113131 Issued in NY
Practice address
27 Prides LN
Englishtown, NJ 07726-8209
Phone
(718) 795-8575
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
School Social Worker 1041S0200X
Social Worker 104100000X 113131 NY Primary

Addresses

Primary practice location

27 Prides LN
Englishtown, NJ 07726-8209

Mailing address

27 Prides LN
Englishtown, NJ 07726-8209
Phone (718) 795-8575

Other practice location 1

2928 W 5th St
10F
Brooklyn, NY 11224-3902
Phone (718) 795-8575

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
113131NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Seaz II LLC CurrentSince Oct 27, 2024 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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1467801043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PRIDES LN",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268209",
            "telephone_number": "718-795-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PRIDES LN",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "077268209",
            "telephone_number": "718-795-8575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2928 W 5th St",
            "address_2": "10F",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112243902",
            "country_code": "US",
            "telephone_number": "718-795-8575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODESSKY",
        "first_name": "ZOYA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englishtown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.