Individual provider Active NPI

Roni Hartman, MSW

  • Clinical Social Worker
  • Chappaqua, NY
National Provider Identifier
1528463577
Registry record updated Nov 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036003 Issued in NY
Practice address
1 S Greeley Ave
Suite 302
Chappaqua, NY 10514-3346
Phone
(914) 238-1699
Fax
(914) 238-1695
NPI assigned
Nov 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2014

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 R036003 NY Primary

Addresses

Primary practice location

1 S Greeley Ave
Suite 302
Chappaqua, NY 10514-3346

Mailing address

1 S Greeley Ave
Suite 302
Chappaqua, NY 10514-3346
Phone (914) 238-1699

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
R036003NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1414800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414800000000",
    "number": "1528463577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S GREELEY AVE",
            "address_2": "SUITE 302",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143346",
            "telephone_number": "914-238-1699",
            "fax_number": "914-238-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S GREELEY AVE",
            "address_2": "SUITE 302",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143346",
            "telephone_number": "914-238-1699",
            "fax_number": "914-238-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "RONI",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-01",
        "last_updated": "2014-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2014; 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.