Individual provider Active NPI

Randye Jane Zerman, LCSW

  • Clinical Social Worker
  • Mamaroneck, NY
National Provider Identifier
1720392426
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046322-1 Issued in NY
Practice address
933 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1661
Phone
(914) 574-1058
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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 R046322-1 NY Primary

Addresses

Primary practice location

933 Mamaroneck Ave Ste 202
Mamaroneck, NY 10543-1661

Mailing address

36 Silver Birch Dr
New Rochelle, NY 10804-3810
Phone (914) 574-1058

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
I20130712000213 NY Practitioner - Clinical Social Worker 2365696903 Practice locations: Mamaroneck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

933 Mamaroneck Ave
Suite 202
Mamaroneck, NY 10543-1661
Phone (914) 574-1058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046322-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1720392426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SILVER BIRCH DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043810",
            "telephone_number": "914-574-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 MAMARONECK AVE STE 202",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105431661",
            "telephone_number": "914-574-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERMAN",
        "first_name": "RANDYE",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046322-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

Verify at the official NPI Registry.