Active NPI
Amanda Oxenhorn, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1568630697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077169
- Practice address
- 726 Broadway
NYU SHC
New York, NY 10003-6008 - Phone
- (212) 443-1000
- NPI assigned
- Feb 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077169 | NY | Primary |
| Clinical Social Worker | 1041C0700X | 25773 | CA |
Addresses
Primary practice location
726 Broadway
NYU SHC
New York, NY 10003-6008
Mailing address
928 Broadway
Suite 1206
New York, NY 10010-6008
Phone (718) 541-5968
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 |
|---|---|---|---|
| 077169 | NY | MD | Social Worker |
| 25773 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1568630697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 BROADWAY",
"address_2": "SUITE 1206",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106008",
"telephone_number": "718-541-5968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROADWAY",
"address_2": "NYU SHC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100036008",
"telephone_number": "212-443-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OXENHORN",
"first_name": "AMANDA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-11",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077169",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "25773",
"primary": false
}
],
"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 19, 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.