Individual provider Active NPI

Stephen Terzuoli, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1740393347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR017369 Issued in NY
Practice address
370 Lexington Ave RM 1613
New York, NY 10017-6581
Phone
(212) 922-1752
Fax
(914) 747-5675
NPI assigned
Aug 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR017369 NY Primary

Addresses

Primary practice location

370 Lexington Ave RM 1613
New York, NY 10017-6581

Mailing address

71 Tompkins Ave Apt 4
Pleasantville, NY 10570-3141
Phone (914) 747-5675

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
I20080729000629 NY Practitioner - Clinical Social Worker 0244304954 Practice locations: Pleasantville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

343 Manville Rd
Suite 1U
Pleasantville, NY 10570-2153
Phone (914) 693-1644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR017369NYMDClinical Social Worker
017369NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740393347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TOMPKINS AVE APT 4",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105703141",
            "telephone_number": "914-747-5675",
            "fax_number": "914-747-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE RM 1613",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176581",
            "telephone_number": "212-922-1752",
            "fax_number": "914-747-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERZUOLI",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR017369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.