Individual provider Active NPI

Andrew B Schmidt, LCSW, PHD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1679631626
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072887 Issued in NY
Practice address
875 Avenue of the Americas 1603
New York, NY 10001-3574
Phone
(917) 514-0860
NPI assigned
Dec 4, 2006
Last updated
May 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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 072887 NY Primary

Addresses

Primary practice location

875 Avenue of the Americas 1603
New York, NY 10001-3574

Mailing address

875 6TH Ave RM 1603
New York, NY 10001-3574
Phone (917) 514-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Oct 9, 2020 through Oct 9, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
City Psychotherapy CurrentSince May 9, 2021 Accepting new patients

Locations

875 Avenue of the Americas
Rm 1603
New York, NY 10001
Phone (646) 478-7682

Organizations & group practices 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1679631626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 6TH AVE RM 1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013574",
            "telephone_number": "917-514-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 AVENUE OF THE AMERICAS 1603",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013574",
            "telephone_number": "917-514-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ANDREW",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "LCSW, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.