Active NPI
Emma Ting Beiderman, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1679239453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 099809
- Practice address
- 80 5TH Ave RM 901
New York, NY 10011-8018 - Phone
- (347) 267-4717
- NPI assigned
- Nov 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 099809 | NY | Primary |
Addresses
Primary practice location
80 5TH Ave RM 901
New York, NY 10011-8018
Mailing address
664 E 18TH St
Brooklyn, NY 11230-1801
Phone (718) 689-3673
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
| License | State | Type | Specialty |
|---|---|---|---|
| 099809 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1679239453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 E 18TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112301801",
"telephone_number": "718-689-3673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 5TH AVE RM 901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118018",
"telephone_number": "347-267-4717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEIDERMAN",
"first_name": "EMMA",
"middle_name": "TING",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "099809",
"primary": true
}
],
"identifiers": [],
"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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.