Active NPI
Fernando Lizzi, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1477647329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080233
- Practice address
- 140 W 97TH St
New York, NY 10025-6450 - Phone
- (212) 696-7333
- NPI assigned
- Oct 3, 2006
- Last updated
- Sep 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 080233 | NY | Primary |
Addresses
Primary practice location
140 W 97TH St
New York, NY 10025-6450
Mailing address
4301 Park Ave
Apt. 4a
Union City, NJ 07087-6579
Phone (212) 696-7333
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
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1477647329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 PARK AVE",
"address_2": "APT. 4A",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070876579",
"telephone_number": "212-696-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 97TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256450",
"telephone_number": "212-696-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZZI",
"first_name": "FERNANDO",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080233",
"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 Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.