Active NPI
Eric Hess, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1619050358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R047183
- Practice address
- 1115 Broadway Ste 1128
New York, NY 10010-3450 - Phone
- (917) 705-6615
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R047183 | NY | Primary |
Addresses
Primary practice location
1115 Broadway Ste 1128
New York, NY 10010-3450
Mailing address
123 Waverly PL
Apt. 8C
New York, NY 10011-9147
Phone (917) 705-6615
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2195018 | Other | NY | OXFORD PROVIDER ID |
| 7735184 | Other | NY | AETNA PROVIDER ID |
| NH526 | Other | NY | EMPIRE BCBS ID |
| 219933 | Other | NY | MHN PROVIDER ID |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R047183 | NY | MD | Clinical Social Worker |
| 047183 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1619050358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 WAVERLY PL",
"address_2": "APT. 8C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100119147",
"telephone_number": "917-705-6615",
"fax_number": "212-228-4247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 BROADWAY STE 1128",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100103450",
"telephone_number": "917-705-6615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "ERIC",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R047183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID",
"identifier": "P2195018",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER ID",
"identifier": "7735184",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS ID",
"identifier": "NH526",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER ID",
"identifier": "219933",
"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 Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.