Organization Active NPI

Andrew M Stromberg Deborah Boughner CSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1568716660
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0130801 Issued in NY
Legal business name
ANDREW M STROMBERG DEBORAH BOUGHNER CSW PC
Practice address
26 W 9TH St
Suite 7E
New York, NY 10011-8971
Phone
(212) 475-1971
NPI assigned
Oct 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Andrew Michael Stromberg, LCSWNPI 1144387846
Title
President
Phone
(212) 475-1971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X PR0130801 NY Primary

Addresses

Primary practice location

26 W 9TH St
Suite 7E
New York, NY 10011-8971

Mailing address

30 E 9TH St
Apt 2CC
New York, NY 10003-6401
Phone (212) 475-1971

National Provider Directory

National Provider Directory

Locations

26 W 9th St
Apt 7E
New York, NY 10011
Phone (212) 475-1691

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1568716660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 9TH ST",
            "address_2": "APT 2CC",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100036401",
            "telephone_number": "212-475-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W 9TH ST",
            "address_2": "SUITE 7E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118971",
            "telephone_number": "212-475-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M STROMBERG DEBORAH BOUGHNER CSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "STROMBERG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-475-1971",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0130801",
            "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 Jan 24, 2013; 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.