Active NPI
Alexander Stadler, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1477623262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 062099-R
- Practice address
- 19 West 34TH Street
Penthouse
New York, NY 10001 - Phone
- (917) 789-6160
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P062099-1 | NY | |
| Clinical Social Worker | 1041C0700X | 062099-R | NY | Primary |
Addresses
Primary practice location
19 West 34TH Street
Penthouse
New York, NY 10001
Mailing address
351 W. 24TH Street
Apt 5J
New York, NY 10011
Phone (917) 789-6160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 062099-R | NY | MD | Clinical Social Worker |
| P062099-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1477623262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 W. 24TH STREET",
"address_2": "APT 5J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "917-789-6160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 WEST 34TH STREET",
"address_2": "PENTHOUSE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "917-789-6160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADLER",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P062099-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "062099-R",
"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 Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.