Active NPI
Sofia Caroline Rivkin-Haas, LMSW
- Social Worker
- Astoria, NY
National Provider Identifier
1558766204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092421-1
- Practice address
- 2236 27TH St
Astoria, NY 11105-3112 - Phone
- (510) 289-1115
- NPI assigned
- Oct 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 092421-1 | NY | Primary |
Addresses
Primary practice location
2236 27TH St
Astoria, NY 11105-3112
Mailing address
2236 27TH St
Astoria, NY 11105-3112
Phone (510) 289-1115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 14, 2026 through Jan 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092421-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1558766204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 27TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053112",
"telephone_number": "510-289-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 27TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053112",
"telephone_number": "510-289-1115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVKIN-HAAS",
"first_name": "SOFIA",
"middle_name": "CAROLINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092421-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.