Individual provider Active NPI

Robert Paul Reiser, LCSW

  • Clinical Social Worker
  • Dobbs Ferry, NY
National Provider Identifier
1689289035
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097246 Issued in NY
Practice address
152 Broadway Unit 10
Dobbs Ferry, NY 10522-2860
Phone
(917) 941-6460
NPI assigned
Sep 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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 097246 NY Primary

Addresses

Primary practice location

152 Broadway Unit 10
Dobbs Ferry, NY 10522-2860

Mailing address

152 Broadway Unit 10
Dobbs Ferry, NY 10522-2860
Phone (917) 941-6460

Other practice location 1

152 Broadway Unit 10
Dobbs Ferry, NY 10522-2860
Phone (917) 941-6460

Other practice location 2

152 Broadway Unit 10
Dobbs Ferry, NY 10522-2860
Phone (917) 941-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 11, 2025 through Feb 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
097246NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1689289035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BROADWAY UNIT 10",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222860",
            "telephone_number": "917-941-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BROADWAY UNIT 10",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222860",
            "telephone_number": "917-941-6460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Broadway Unit 10",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105222860",
            "country_code": "US",
            "telephone_number": "917-941-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 Broadway Unit 10",
            "address_purpose": "LOCATION",
            "city": "Dobbs Ferry",
            "state": "NY",
            "postal_code": "105222860",
            "country_code": "US",
            "telephone_number": "917-941-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISER",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dobbs Ferry, NY

Sources for this page

Verify at the official NPI Registry.