Active NPI
Sam Sobel, LCSW
- Social Worker
- Briarwood, NY
National Provider Identifier
1487757621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 045513
- Practice address
- 13876 Queens Blvd FL 1
Briarwood, NY 11435-2930 - Phone
- (718) 850-3645
- Fax
- (718) 526-7971
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 045513 | NY | Primary |
Addresses
Primary practice location
13876 Queens Blvd FL 1
Briarwood, NY 11435-2930
Mailing address
13876 Queens Blvd FL 1
Briarwood, NY 11435-2930
Phone (718) 850-3645
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256FV | Other | NY | MEDICARE GHI |
| 7479547 | Other | GHI | |
| P1971101 | Other | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040708001350 | NY | Practitioner - Clinical Social Worker | 2860470663 | Practice locations: Forest Hills, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7613 113TH St
1F
Forest Hills, NY 11375-6597
Phone (718) 790-6211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045513 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Current | 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.
-
- Clinical Social Worker
- Bayside, NY
- NPI 1982798773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1487757621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13876 QUEENS BLVD FL 1",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352930",
"telephone_number": "718-850-3645",
"fax_number": "718-526-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13876 QUEENS BLVD FL 1",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114352930",
"telephone_number": "718-850-3645",
"fax_number": "718-526-7971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBEL",
"first_name": "SAM",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "045513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GHI",
"identifier": "0256FV",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7479547",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1971101",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Briarwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.