Active NPI
Crystal M. Zwack
- Social Worker
- Albany, NY
National Provider Identifier
1720366438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 081063-1
- Practice address
- 260 S Pearl St
Albany, NY 12202-1809 - Phone
- (518) 447-4555
- Fax
- (518) 447-5913
- NPI assigned
- Jul 29, 2011
- Last updated
- Jul 29, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 081063-1 | NY | Primary |
Addresses
Primary practice location
260 S Pearl St
Albany, NY 12202-1809
Mailing address
260 S Pearl St
Albany, NY 12202-1809
Phone (518) 447-4555
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 |
|---|---|---|---|
| 081063-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311897600000",
"number": "1720366438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 S PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122021809",
"telephone_number": "518-447-4555",
"fax_number": "518-447-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122021809",
"telephone_number": "518-447-4555",
"fax_number": "518-447-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWACK",
"first_name": "CRYSTAL",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-29",
"last_updated": "2011-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "081063-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.