Active NPI
Debra Ann Kuppersmith, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1508926726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PRO38654-1
- Practice address
- 5 W 86TH St
New York, NY 10024-3603 - Phone
- (914) 693-8631
- Fax
- (914) 693-8631
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PRO38654-1 | NY | Primary |
Addresses
Primary practice location
5 W 86TH St
New York, NY 10024-3603
Mailing address
21 Maplewood Ave
Dobbs Ferry, NY 10522-3013
Phone (914) 693-8631
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 |
|---|---|---|---|
| PRO38654-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508926726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MAPLEWOOD AVE",
"city": "DOBBS FERRY",
"state": "NY",
"postal_code": "105223013",
"telephone_number": "914-693-8631",
"fax_number": "914-693-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W 86TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243603",
"telephone_number": "914-693-8631",
"fax_number": "914-693-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPPERSMITH",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PRO38654-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, 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.