Active NPI
Thomas Schaefer, LCSW-R
- Social Worker
- Floral Park, NY
National Provider Identifier
1679831952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R055279-1
- Practice address
- 198 Aspen St
Floral Park, NY 11001-3432 - Phone
- (516) 488-6022
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R055279-1 | NY | Primary |
Addresses
Primary practice location
198 Aspen St
Floral Park, NY 11001-3432
Mailing address
198 Aspen St
Floral Park, NY 11001-3432
Phone (516) 488-6022
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 |
|---|---|---|---|
| R055279-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1679831952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 ASPEN ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013432",
"telephone_number": "516-488-6022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 ASPEN ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013432",
"telephone_number": "516-488-6022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "THOMAS",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R055279-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.