Active NPI
Elaine Yudkovitz, PHD,LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1801062419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PRO29392
- Practice address
- 48 W 21St St
Suite 301
New York, NY 10010-6907 - Phone
- (212) 989-3689
- Fax
- (212) 989-3689
- NPI assigned
- May 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PRO29392 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 001186 | NY |
Addresses
Primary practice location
48 W 21St St
Suite 301
New York, NY 10010-6907
Mailing address
48 W 21St St
Suite 301
New York, NY 10010-6907
Phone (212) 989-3689
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171005003789 | NY | Practitioner - Clinical Social Worker | 7911272646 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
80 8TH Ave
Suite 600
New York, NY 10011-5126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRO29392 | NY | MD | Clinical Social Worker |
| 001186 | NY | MD | Acupuncturist |
| 029392 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212192000000",
"number": "1801062419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48 W 21ST ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106907",
"telephone_number": "212-989-3689",
"fax_number": "212-989-3689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 W 21ST ST",
"address_2": "SUITE 301",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100106907",
"telephone_number": "212-989-3689",
"fax_number": "212-989-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUDKOVITZ",
"first_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHD,LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-03",
"last_updated": "2008-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PRO29392",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "001186",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.