Individual provider Active NPI

Stephanie Traver

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1679019384
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090575 Issued in NY
Practice address
35 Dock St
Yonkers, NY 10701-2733
Phone
(914) 965-1109
Fax
(914) 965-9705
NPI assigned
Jan 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 090575 NY Primary

Addresses

Primary practice location

35 Dock St
Yonkers, NY 10701-2733

Mailing address

85 W Burnside Ave
Bronx, NY 10453-4015
Phone (718) 483-1270

Other identifiers 1

IdentifierTypeStateIssuer
1285628552OtherNYAGENCY

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
I20170908000024 NY Practitioner - Clinical Social Worker 5890068175 Reassigns benefits to 3 organizations

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)

637 Ridge St
Peekskill, NY 10566-5517
Phone (914) 760-8795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090575NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Heights Health Center, Inc. CurrentSince Aug 9, 2017 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Mar 21, 2018 Accepting new patients
Stephanie Traver Clinical CurrentSince Nov 28, 2021 Accepting new patients
Stephanie Traver, LCSW, Psychotherapy Services P.L.L.C. Clinical CurrentSince Aug 18, 2023 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince Aug 9, 2017 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Mar 21, 2018 Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients

Locations

85 W Burnside Ave
Bronx, NY 10453
Phone (718) 483-1270

3600 Jerome Ave
Bronx, NY 10467
Phone (718) 366-8400

25 E 183rd St
Bronx, NY 10453
Phone (718) 483-1270

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1679019384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-483-1270",
            "fax_number": "718-228-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DOCK ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107012733",
            "telephone_number": "914-965-1109",
            "fax_number": "914-965-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVER",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY",
            "identifier": "1285628552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.