Active NPI
Sarah Fishman, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1760008965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC06317600
- Practice address
- 1273 53Rd St
Brooklyn, NY 11219-3865 - Phone
- (718) 435-5700
- NPI assigned
- Jun 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 096843 | NY | |
| Clinical Social Worker | 1041C0700X | 44SC06317600 | NJ | Primary |
Addresses
Primary practice location
1273 53Rd St
Brooklyn, NY 11219-3865
Mailing address
1009 Madison Ave
Toms River, NJ 08757-1819
Phone (347) 385-4560
Other names 1
- Sarah Nebenzahl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06317600 | NJ | MD | Clinical Social Worker |
| 096843 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients | |
| Lakewood Resource and Referral Center, Inc. | Current | Accepting new patients | |
| Lakewood Resource and Referral Center Inc | Current | Accepting new patients |
Locations
1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144
Interoperability endpoints
- sarah.nebenzahl.p1@direct.ezramedical.nextgenshare.com
- sarah.fishman@chemed.eclinicaldirectplus.com
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.
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1083748297
-
- Federally Qualified Health Center (FQHC)
- Lakewood, NJ
- NPI 1194436360
-
- Federally Qualified Health Center (FQHC)
- Jackson, NJ
- NPI 1124844816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1760008965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 MADISON AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087571819",
"telephone_number": "347-385-4560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 53RD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112193865",
"telephone_number": "718-435-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "SARAH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "096843",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06317600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "NEBENZAHL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.