Individual provider Active NPI

Andrew Safyer, PH.D., LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1740671536
Registry record updated May 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022254 Issued in IL
Practice address
2671 N Lincoln Ave Apt 3E
Chicago, IL 60614-9192
Phone
(516) 220-4658
NPI assigned
Feb 15, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2021

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 149.022254 IL Primary

Addresses

Primary practice location

2671 N Lincoln Ave Apt 3E
Chicago, IL 60614-9192

Mailing address

2671 N Lincoln Ave Apt 3E
Chicago, IL 60614-9192
Phone (516) 220-4658

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
149.022254ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1740671536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 N LINCOLN AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149192",
            "telephone_number": "516-220-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2671 N LINCOLN AVE APT 3E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149192",
            "telephone_number": "516-220-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFYER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-15",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.