Individual provider Active NPI

Emily Kelman Fitton, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1770716821
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080752 Issued in NY
Practice address
15 E 40TH St RM 801
New York, NY 10016-0413
Phone
(917) 747-9945
NPI assigned
Aug 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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 080752 NY Primary

Addresses

Primary practice location

15 E 40TH St RM 801
New York, NY 10016-0413

Mailing address

15 E 40TH St RM 801
New York, NY 10016-0413
Phone (917) 747-9945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 26, 2023 through Dec 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
080752NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1770716821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 40TH ST RM 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160413",
            "telephone_number": "917-747-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 40TH ST RM 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160413",
            "telephone_number": "917-747-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTON",
        "first_name": "EMILY",
        "middle_name": "KELMAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.