Individual provider Active NPI

Zbigniew Marek Korczak, LMSW

  • Social Worker
  • Maspeth, NY
National Provider Identifier
1619357506
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091602 Issued in NY
Practice address
5992 58TH Ave
Apt. 2
Maspeth, NY 11378-3224
Phone
(347) 730-8160
NPI assigned
Jun 4, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091602 NY Primary

Addresses

Primary practice location

5992 58TH Ave
Apt. 2
Maspeth, NY 11378-3224

Mailing address

5992 58TH Ave
Apt. 2
Maspeth, NY 11378-3224
Phone (347) 730-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180914001617 NY Practitioner - Clinical Social Worker 9638420532 Reassigns benefits to 1 organization
Practice locations: Rego Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Rego Park, NY 11374
Phone (347) 730-8160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091602NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Doug Uhlig Psychological Services PLLC CurrentSince May 28, 2024 Accepting new patients
South Brooklyn Psychological Services PLLC PastSince Aug 17, 2025 Accepting new patients

Locations

6344 Saunders St
Ste 106
Rego Park, NY 11374
Phone (347) 243-6494

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1619357506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5992 58TH AVE",
            "address_2": "APT. 2",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783224",
            "telephone_number": "347-730-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5992 58TH AVE",
            "address_2": "APT. 2",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113783224",
            "telephone_number": "347-730-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORCZAK",
        "first_name": "ZBIGNIEW",
        "middle_name": "MAREK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

Verify at the official NPI Registry.