Individual provider Active NPI

Judith S. Zorfas Spivak, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1487787156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041754-1 Issued in NY
Practice address
31 W 82ND St
New York, NY 10024-5661
Phone
(212) 501-7726
Fax
(212) 595-9171
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R041754-1 NY Primary

Addresses

Primary practice location

31 W 82ND St
New York, NY 10024-5661

Mailing address

31 W 82ND St
New York, NY 10024-5661
Phone (212) 501-7726

Other identifiers 1

IdentifierTypeStateIssuer
R041754-1OtherNYNY SOCIAL WORK LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910001012 NY Practitioner - Clinical Social Worker 2062505845 Practice locations: New York, 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

Practice addresses (Care Compare)

31 W 82ND St
New York, NY 10024-5661
Phone (212) 501-7726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041754-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487787156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 82ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245661",
            "telephone_number": "212-501-7726",
            "fax_number": "212-595-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 82ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245661",
            "telephone_number": "212-501-7726",
            "fax_number": "212-595-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORFAS SPIVAK",
        "first_name": "JUDITH",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041754-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY SOCIAL WORK LICENSE",
            "identifier": "R041754-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.