Active NPI
Michael Davidovits, PHD, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1558520833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R055931
- Practice address
- 140 W 79TH St
Suite 2a
New York, NY 10024-6421 - Phone
- (917) 721-2093
- NPI assigned
- Jun 3, 2008
- Last updated
- Jun 3, 2008
- 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 | R055931 | NY | Primary |
Addresses
Primary practice location
140 W 79TH St
Suite 2a
New York, NY 10024-6421
Mailing address
301 W 110TH St
Apartment 12J
New York, NY 10026-4066
Phone (917) 721-2093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R055931 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1558520833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W 110TH ST",
"address_2": "APARTMENT 12J",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100264066",
"telephone_number": "917-721-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 79TH ST",
"address_2": "SUITE 2A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246421",
"telephone_number": "917-721-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDOVITS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R055931",
"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 Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.