Individual provider Active NPI

Joann P Weisbord, LCSW

  • Clinical Social Worker
  • Woodmere, NY
National Provider Identifier
1528146222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R033911-1 Issued in NY
Practice address
999 Central Ave
Suite 207
Woodmere, NY 11598-1205
Phone
(516) 295-4442
Fax
(516) 295-3195
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 R033911-1 NY Primary

Addresses

Primary practice location

999 Central Ave
Suite 207
Woodmere, NY 11598-1205

Mailing address

999 Central Ave
Suite 207
Woodmere, NY 11598-1205
Phone (516) 295-4442

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
I20101101001267 NY Practitioner - Clinical Social Worker 6608060850 Practice locations: Woodmere, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

999 Central Ave
Woodmere, NY 11598-1205
Phone (516) 295-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R033911-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528146222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE",
            "address_2": "SUITE 207",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981205",
            "telephone_number": "516-295-4442",
            "fax_number": "516-295-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 CENTRAL AVE",
            "address_2": "SUITE 207",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981205",
            "telephone_number": "516-295-4442",
            "fax_number": "516-295-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBORD",
        "first_name": "JOANN",
        "middle_name": "P",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033911-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

Verify at the official NPI Registry.