Individual provider Active NPI

Malwina Andruczyk, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1578939799
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087512 Issued in NY
Practice address
50 Court St Ste 901
Brooklyn, NY 11201-4879
Phone
(718) 928-6932
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095376 NY
Clinical Social Worker 1041C0700X 087512 NY Primary

Addresses

Primary practice location

50 Court St Ste 901
Brooklyn, NY 11201-4879

Mailing address

50 Court St Ste 901
Brooklyn, NY 11201-4879

Other practice location 1

617A Vanderbilt Ave
Apt 4
Brooklyn, NY 11238-3566
Phone (646) 641-8226

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

LicenseStateTypeSpecialty
087512NYMDSocial Worker
095376NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1578939799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COURT ST STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 COURT ST STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014879",
            "telephone_number": "718-928-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "617A Vanderbilt Ave",
            "address_2": "Apt 4",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112383566",
            "country_code": "US",
            "telephone_number": "646-641-8226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRUCZYK",
        "first_name": "MALWINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095376",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.