Individual provider Active NPI

Felicia Merrill Balicer, LCSW R

  • Clinical Social Worker
  • New York City, NY
National Provider Identifier
1699878488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO48815-1 Issued in NY
Practice address
40 Harrison Street
4E
New York City, NY 10013
Phone
(646) 641-5206
Fax
(212) 608-3848
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 RO48815-1 NY Primary

Addresses

Primary practice location

40 Harrison Street
4E
New York City, NY 10013

Mailing address

40 Harrison Street
4E
New York City, NY 10013
Phone (646) 641-5206

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
RO48815-1NYMDClinical Social Worker
048815NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699878488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HARRISON STREET",
            "address_2": "4E",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "646-641-5206",
            "fax_number": "212-608-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 HARRISON STREET",
            "address_2": "4E",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10013",
            "telephone_number": "646-641-5206",
            "fax_number": "212-608-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALICER",
        "first_name": "FELICIA",
        "middle_name": "MERRILL",
        "name_prefix": "Ms.",
        "credential": "LCSW R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO48815-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.