David J Clovsky, LCSW R

Primary specialty

Social WorkerTaxonomy code 104100000X

License

00069653 Issued in NY

Practice address

270 Riverside Drive #201
Johnson City, NY 13790-2741

Phone

(845) 781-6061

Fax

(607) 648-8717

NPI assigned

Jun 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Work and Counseling Services of the Finger Lakes

  • Clinical Social Worker
  • Elmira, NY
  • NPI 1093802266
  NPD (past)

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1497957989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4567 CROSSROADS PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130883589",
            "telephone_number": "315-295-2100",
            "fax_number": "315-295-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 RIVERSIDE DRIVE #201",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902741",
            "telephone_number": "845-781-6061",
            "fax_number": "607-648-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOVSKY",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00069653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00069653",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02979642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ishraq Chowdhury, DO
• Christian D. Tvetenstrand MD, PLLC
• Mia Cicoria-Timm
• Amber Cina
• Katelyn Clarke, NURSE PRACTITIONER
• Deborah Cohen, M.D.
• Bonnie Jean Cole, OTR
• Kristie Lynn Coleman, RN
• Jamie Collins, PA
• Pat Collins, LMT

• Social Worker in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.