Active NPI
Cyrus Poliakoff, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1477960805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087936-1
- Practice address
- 276 5TH Avenue
Ste 507, Office 4
New York, NY 10001 - Phone
- (917) 342-2149
- NPI assigned
- Jul 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 087936-1 | NY | Primary |
| Psychoanalyst | 102L00000X |
Addresses
Primary practice location
276 5TH Avenue
Ste 507, Office 4
New York, NY 10001
Mailing address
257 Powers St FL 1
Brooklyn, NY 11211-5035
Phone (650) 815-9334
Other practice location 1
160 W 86th St
New York, NY 10024-4018
Phone (212) 362-8755
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
| License | State | Type | Specialty |
|---|---|---|---|
| 087936-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1477960805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 POWERS ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112115035",
"telephone_number": "650-815-9334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 5TH AVENUE",
"address_2": "STE 507, OFFICE 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "917-342-2149"
}
],
"practiceLocations": [
{
"address_1": "160 W 86th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100244018",
"country_code": "US",
"telephone_number": "212-362-8755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLIAKOFF",
"first_name": "CYRUS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087936-1",
"primary": true
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
}
],
"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 Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.