Individual provider Active NPI

Paula H Sobel, LCSW CLINICAL SOCIAL

  • Clinical Social Worker
  • Ny, NY
National Provider Identifier
1487792479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWR0199861 Issued in NY
Practice address
625 Main St
Apt 1032 Roosevelt Island
Ny, NY 10044
Phone
(212) 319-4351
Fax
(212) 848-6020
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

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 SWR0199861 NY Primary

Addresses

Primary practice location

625 Main St
Apt 1032 Roosevelt Island
Ny, NY 10044

Mailing address

625 Main St
Apt 1032 Roosevelt Island
Ny, NY 10044
Phone (212) 319-4351

Other identifiers 7

IdentifierTypeStateIssuer
05036654OtherUNITED HEALTH CARE
158583OtherVALUE OPTIONS
N2R66OtherEMPIRE BLUE CROSS
P2571390OtherOXFORD
088961OtherAETNA
7484572OtherGHI
1057520OtherBEACON

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

LicenseStateTypeSpecialty
SWR0199861NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487792479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 MAIN ST",
            "address_2": "APT 1032 ROOSEVELT ISLAND",
            "city": "NY",
            "state": "NY",
            "postal_code": "10044",
            "telephone_number": "212-319-4351",
            "fax_number": "212-848-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 MAIN ST",
            "address_2": "APT 1032 ROOSEVELT ISLAND",
            "city": "NY",
            "state": "NY",
            "postal_code": "10044",
            "telephone_number": "212-319-4351",
            "fax_number": "212-848-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBEL",
        "first_name": "PAULA",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "LCSW CLINICAL SOCIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "SWR0199861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "05036654",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "158583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "N2R66",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2571390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "088961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7484572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "1057520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.