Individual provider Active NPI

Sook Fong Siew, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1750527073
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
056848 Issued in NY
Practice address
65 Pike St
Apt 2F
New York, NY 10002-7355
Phone
(917) 887-9288
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 056848 NY Primary

Addresses

Primary practice location

65 Pike St
Apt 2F
New York, NY 10002-7355

Mailing address

65 Pike St
Apt 2F
New York, NY 10002-7355
Phone (917) 887-9288

Other names 1

  • Miss Sook Fong Siew Professional name

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
I20170505000238 NY Practitioner - Clinical Social Worker 7315224060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056848NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychassociates LLP Past Accepting new patients
Hamilton Madison House, Inc Past Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1750527073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 PIKE ST",
            "address_2": "APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027355",
            "telephone_number": "917-887-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 PIKE ST",
            "address_2": "APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027355",
            "telephone_number": "917-887-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEW",
        "first_name": "SOOK FONG",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOOK FONG",
            "last_name": "SIEW",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.