Active NPI
Judith D Adelson, LCSW
- Clinical Social Worker
- New York City, NY
National Provider Identifier
1679656128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR018910
- Practice address
- 425 Riverside Dr
#8C
New York City, NY 10025-7728 - Phone
- (212) 222-4486
- Fax
- (212) 663-6444
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- 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 | PR018910 | NY | Primary |
Addresses
Primary practice location
425 Riverside Dr
#8C
New York City, NY 10025-7728
Mailing address
425 Riverside Dr
#8C
New York City, NY 10025-7728
Phone (212) 222-4486
Other names 1
- Mrs. Judith D Adelman
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101203000731 | NY | Practitioner - Clinical Social Worker | 7618164591 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
425 Riverside Dr
Apt 8C
New York, NY 10025-7728
Phone (212) 222-4486
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR018910 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1679656128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 RIVERSIDE DR",
"address_2": "#8C",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "100257728",
"telephone_number": "212-222-4486",
"fax_number": "212-663-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 RIVERSIDE DR",
"address_2": "#8C",
"city": "NEW YORK CITY",
"state": "NY",
"postal_code": "100257728",
"telephone_number": "212-222-4486",
"fax_number": "212-663-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADELSON",
"first_name": "JUDITH",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR018910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JUDITH",
"last_name": "ADELMAN",
"middle_name": "D",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New York City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.