Individual provider Active NPI

Marjorie R Saltzberg, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1770644197
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0167511 Issued in NY
Practice address
145 W 86TH St
#1B
New York, NY 10024-3421
Phone
(212) 769-0370
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

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 PR0167511 NY Primary

Addresses

Primary practice location

145 W 86TH St
#1B
New York, NY 10024-3421

Mailing address

145 W 86TH St
#1B
New York, NY 10024-3421
Phone (212) 769-0370

Other identifiers 1

IdentifierTypeStateIssuer
11634739OtherCAQH PROVIDER ID NUMBER

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
I20110314000102 NY Practitioner - Clinical Social Worker 0143402164 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 5TH Ave
Suite 606
New York, NY 10016-6685
Phone (212) 769-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0167511NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770644197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 86TH ST",
            "address_2": "#1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243421",
            "telephone_number": "212-769-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W 86TH ST",
            "address_2": "#1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243421",
            "telephone_number": "212-769-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZBERG",
        "first_name": "MARJORIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0167511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID NUMBER",
            "identifier": "11634739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.