Individual provider Active NPI

David Schwab, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1760550859
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027478-1 Issued in NY
Practice address
2000 Winton Rd S
Building One, Suite 102
Rochester, NY 14618-3970
Phone
(585) 241-3090
Fax
(585) 241-3094
NPI assigned
Nov 30, 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 R027478-1 NY Primary

Addresses

Primary practice location

2000 Winton Rd S
Building One, Suite 102
Rochester, NY 14618-3970

Mailing address

2000 Winton Rd S
Building One, Suite 102
Rochester, NY 14618-3970
Phone (585) 241-3090

Other identifiers 1

IdentifierTypeStateIssuer
178218FKOtherNYPREFERRED CARE

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
I20080505000397 NY Practitioner - Clinical Social Worker 8729167671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027478-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester Rehabilitation Center, Inc PastSince Aug 11, 2005 Accepting new patients

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760550859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WINTON RD S",
            "address_2": "BUILDING ONE, SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183970",
            "telephone_number": "585-241-3090",
            "fax_number": "585-241-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WINTON RD S",
            "address_2": "BUILDING ONE, SUITE 102",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183970",
            "telephone_number": "585-241-3090",
            "fax_number": "585-241-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027478-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "178218FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.