Active NPI
Matthew Joseph Danis
- Clinical Social Worker
- New York, NY
National Provider Identifier
1720604622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107974
- Practice address
- 1178 Broadway, 3Rd Floor
Suite #3813
New York, NY 10001 - Phone
- (917) 696-1956
- NPI assigned
- Jun 17, 2020
- Last updated
- Apr 2, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107974 | NY | Primary |
Addresses
Primary practice location
1178 Broadway, 3Rd Floor
Suite #3813
New York, NY 10001
Mailing address
35 W 87TH St Apt 4B
New York, NY 10024-3060
Other practice location 1
511 6th Ave # 7259
New York, NY 10011-8436
Phone (000) 000-0000
Other practice location 2
250 W 90th St Apt 17B
New York, NY 10024-1143
Phone (000) 000-0000
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 |
|---|---|---|---|
| 107974 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew J Danis LCSW PLLC | Clinical | Current | Accepting new patients |
Locations
1178 Broadway
Fl 3
New York, NY 10001
Phone (201) 497-4377
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1720604622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 W 87TH ST APT 4B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 BROADWAY, 3RD FLOOR",
"address_2": "SUITE #3813",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "917-696-1956"
}
],
"practiceLocations": [
{
"address_1": "511 6th Ave # 7259",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100118436",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 W 90th St Apt 17B",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100241143",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANIS",
"first_name": "MATTHEW",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2024-04-02",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "107974",
"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 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.