Active NPI
Matteo Undici Spitzer, LCSWR
- Clinical Social Worker
- New Paltz, NY
National Provider Identifier
1689985129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079221
- Practice address
- 6 Krisnan PL
New Paltz, NY 12561-4312 - Phone
- (845) 569-2763
- NPI assigned
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079221 | NY | Primary |
Addresses
Primary practice location
6 Krisnan PL
New Paltz, NY 12561-4312
Mailing address
6 Krisnan PL
New Paltz, NY 12561-4312
Phone (845) 569-2763
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 |
|---|---|---|---|
| 060907 | NY | MD | Dentist |
| 079221 | NY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1689985129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 KRISNAN PL",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125614312",
"telephone_number": "845-569-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 KRISNAN PL",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125614312",
"telephone_number": "845-569-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDICI SPITZER",
"first_name": "MATTEO",
"credential": "LCSWR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-30",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.