Active NPI
Lee Feldman
- Clinical Social Worker
- New York, NY
National Provider Identifier
1558089060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 110464
- Practice address
- 71 W 23Rd St
New York, NY 10010-4102 - Phone
- (212) 582-1566
- NPI assigned
- Aug 19, 2022
- Sex
- Male
- 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 | 110464 | NY | Primary |
Addresses
Primary practice location
71 W 23Rd St
New York, NY 10010-4102
Mailing address
71 W 23Rd St FL 14
New York, NY 10010-4102
Phone (917) 688-8737
Other practice location 1
3333 Henry Hudson Pkwy Apt 4B
Bronx, NY 10463-3254
Phone (917) 688-8737
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110464 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1558089060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 W 23RD ST FL 14",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104102",
"telephone_number": "917-688-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 W 23RD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104102",
"telephone_number": "212-582-1566"
}
],
"practiceLocations": [
{
"address_1": "3333 Henry Hudson Pkwy Apt 4B",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104633254",
"country_code": "US",
"telephone_number": "917-688-8737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FELDMAN",
"first_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-19",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "110464",
"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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.