Organization Active NPI

Joan Poelvoorde LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1720378490
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR019774 Issued in NY
Legal business name
JOAN POELVOORDE LCSW PC
Practice address
316 W 94TH St
Apt 3B
New York, NY 10025-6857
Phone
(646) 473-0138
Fax
(646) 473-0140
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Ms. Joan Poelvoorde, LCSW
Title
Social Worker
Phone
(646) 473-0138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X PR019774 NY Primary

Addresses

Primary practice location

316 W 94TH St
Apt 3B
New York, NY 10025-6857

Mailing address

316 W 94TH St
Apt 3B
New York, NY 10025-6855
Phone (646) 473-0138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1720378490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 94TH ST",
            "address_2": "APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256855",
            "telephone_number": "646-473-0138",
            "fax_number": "646-473-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 94TH ST",
            "address_2": "APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256857",
            "telephone_number": "646-473-0138",
            "fax_number": "646-473-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN POELVOORDE LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "POELVOORDE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "646-473-0138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR019774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.