Individual provider Active NPI

Rebecca Diane Abramson, PROF. DIPLOMA ,LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1679883227
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO28884-1 Issued in NY
Practice address
100 West 94 Street
#15B
New York, NY 10025-7012
Phone
(212) 288-1337
Fax
(212) 288-2383
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X NY
Clinical Social Worker 1041C0700X RO28884-1 NY Primary

Addresses

Primary practice location

100 West 94 Street
#15B
New York, NY 10025-7012

Mailing address

100 W 94TH St
#15B
New York, NY 10025-7041
Phone (212) 288-1337

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

LicenseStateTypeSpecialty
RO28884-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679883227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 94TH ST",
            "address_2": "#15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257041",
            "telephone_number": "212-288-1337",
            "fax_number": "212-288-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST 94 STREET",
            "address_2": "#15B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257012",
            "telephone_number": "212-288-1337",
            "fax_number": "212-288-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMSON",
        "first_name": "REBECCA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PROF. DIPLOMA ,LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO28884-1",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.