Individual provider Active NPI

Lucy Schwartzman

  • Clinical Social Worker
  • Ansonia, CT
National Provider Identifier
1689739237
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
001732 Issued in CT
Practice address
435 E Main St
Ansonia, CT 06401-1964
Phone
(203) 736-2601
Fax
(203) 736-2910
NPI assigned
Dec 26, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 001732 CT Primary

Addresses

Primary practice location

435 E Main St
Ansonia, CT 06401-1964

Mailing address

435 E Main St
Ansonia, CT 06401-1964
Phone (203) 736-2601

Other identifiers 2

IdentifierTypeStateIssuer
004183472MedicaidCT
800004146OtherCTMEDICARE PTAN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
001732CTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1689739237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601",
            "fax_number": "203-736-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011964",
            "telephone_number": "203-736-2601",
            "fax_number": "203-736-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZMAN",
        "first_name": "LUCY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "001732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004183472",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "800004146",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.