Individual provider Active NPI

Nanette Fleischer, LCSW

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1710176078
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
074764 Issued in NY
Practice address
1082 Victory Blvd
Staten Island, NY 10301-3622
Phone
(718) 815-3500
Fax
(718) 764-6064
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 074764 NY Primary

Addresses

Primary practice location

1082 Victory Blvd
Staten Island, NY 10301-3622

Mailing address

PO Box 60725
Staten Island, NY 10306-0725
Phone (718) 815-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140618001805 NY Practitioner - Clinical Social Worker 5294959011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

88 New Dorp Plaza
Suite 203
Staten Island, NY 10306-2902
Phone (718) 815-3500

88 New Dorp PLZ S
Suite 203
Staten Island, NY 10306-2902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074764NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Four Bridges Social Work Services LCSW PC CurrentSince Jan 24, 2014 Accepting new patients
Nifkab Past Accepting new patients

Locations

88 New Dorp Plz S
Ste 203
Staten Island, NY 10306
Phone (718) 815-3500

Organizations & group practices 2

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": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1710176078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60725",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103060725",
            "telephone_number": "718-815-3500",
            "fax_number": "718-764-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013622",
            "telephone_number": "718-815-3500",
            "fax_number": "718-764-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEISCHER",
        "first_name": "NANETTE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.