Active NPI
Charles Stephen Nisbet, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1689839474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 731 Lexington Ave
New York, NY 10022-1331 - Phone
- (212) 617-6170
- NPI assigned
- Jul 22, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 078694 | NY | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
731 Lexington Ave
New York, NY 10022-1331
Mailing address
853 7TH Ave Apt 8F
New York, NY 10019-5222
Phone (646) 256-7238
Other practice location 1
853 7th Ave Apt 8F
New York, NY 10019-5222
Phone (646) 256-7238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03008151 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cnisbet@humana.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 078694 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Jamaica, NY
- NPI 1265020259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1689839474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 7TH AVE APT 8F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195222",
"telephone_number": "646-256-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221331",
"telephone_number": "212-617-6170"
}
],
"practiceLocations": [
{
"address_1": "853 7th Ave Apt 8F",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100195222",
"country_code": "US",
"telephone_number": "646-256-7238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NISBET",
"first_name": "CHARLES",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-22",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "078694",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03008151",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cnisbet@humana.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "clinical dates of service",
"address_1": "853 7th Ave Apt 8F",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100195222",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.