Active NPI
Zoe Ambre Landers, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1578712501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73-078671
- Practice address
- 31 Washington Square Park West
Suite 5R
New York, NY 10011 - Phone
- (646) 206-6449
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 057775 | NY | |
| Clinical Social Worker | 1041C0700X | 73-078671 | NY | Primary |
Addresses
Primary practice location
31 Washington Square Park West
Suite 5R
New York, NY 10011
Mailing address
333 E 92ND St
Apt #5a
New York, NY 10128-5466
Phone (646) 206-6449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578712501 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 19, 2022 through May 19, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
220 W 148TH St
PH C
New York, NY 10039-3171
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 057775 | NY | MD | Social Worker |
| 73-078671 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341878400000",
"number": "1578712501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E 92ND ST",
"address_2": "APT #5A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285466",
"telephone_number": "646-206-6449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 WASHINGTON SQUARE PARK WEST",
"address_2": "SUITE 5R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10011",
"telephone_number": "646-206-6449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "ZOE",
"middle_name": "AMBRE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2012-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "057775",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73-078671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578712501",
"state": "NY"
}
],
"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 Jul 10, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.