Individual provider Active NPI

Daniel J. Sieber, LCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1710057252
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R059926 Issued in NY
Practice address
2540 31St Ave Apt 5B
Astoria, NY 11106-3612
Phone
(718) 233-6283
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 R059926 NY Primary

Addresses

Primary practice location

2540 31St Ave Apt 5B
Astoria, NY 11106-3612

Mailing address

2540 31St Ave Apt 5B
Astoria, NY 11106-3612
Phone (718) 233-6283

Other identifiers 1

IdentifierTypeStateIssuer
00059926MedicaidNY

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
R059926NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karat Health, Inc. PastSince Jan 2, 2013 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients
Jewish Board of Family and Children'S Services, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1710057252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 31ST AVE APT 5B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063612",
            "telephone_number": "718-233-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 31ST AVE APT 5B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063612",
            "telephone_number": "718-233-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBER",
        "first_name": "DANIEL",
        "middle_name": "J.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00059926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.