Active NPI
Thomas Richard Federn, LCSW
- Clinical Social Worker
- Yonkers, NY
National Provider Identifier
1487979498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73020783
- Practice address
- 2 Park Ave
RPC Yonkers Service Center
Yonkers, NY 10703-3402 - Phone
- (914) 969-0543
- Fax
- (914) 969-3643
- NPI assigned
- Apr 1, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73020783 | NY | Primary |
Addresses
Primary practice location
2 Park Ave
RPC Yonkers Service Center
Yonkers, NY 10703-3402
Mailing address
2 Park Ave
RPC Yonkers Service Center
Yonkers, NY 10703-3402
Phone (914) 969-0543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73020783 | Other | NY | NEW YORK STATE DEPARTMENT OF EDUCATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73020783 | NY | MD | Clinical Social Worker |
| 020783 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1487979498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PARK AVE",
"address_2": "RPC YONKERS SERVICE CENTER",
"city": "YONKERS",
"state": "NY",
"postal_code": "107033402",
"telephone_number": "914-969-0543",
"fax_number": "914-969-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PARK AVE",
"address_2": "RPC YONKERS SERVICE CENTER",
"city": "YONKERS",
"state": "NY",
"postal_code": "107033402",
"telephone_number": "914-969-0543",
"fax_number": "914-969-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDERN",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73020783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE DEPARTMENT OF EDUCATION",
"identifier": "73020783",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.