Individual provider Active NPI

Judith Lynn Price Sr., LCSW, BCD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1811041866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
157421 Issued in NY
Practice address
201 W 89TH St
Apt. 6H
New York, NY 10024-1848
Phone
(212) 873-3123
Fax
(212) 595-1913
NPI assigned
Jan 23, 2007
Sex
Female
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 157421 NY Primary

Addresses

Primary practice location

201 W 89TH St
Apt. 6H
New York, NY 10024-1848

Mailing address

201 W 89TH St
Apt. 6H
New York, NY 10024-1848
Phone (212) 873-3123

Other identifiers 2

IdentifierTypeStateIssuer
144702OtherNYVALUE OPTIONS
0063849OtherNYGHI-BMP

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
I20070426000552 NY Practitioner - Clinical Social Worker 4486750155 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 W 89 St
New York, NY 10024-1819
Phone (212) 595-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
157421NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811041866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 89TH ST",
            "address_2": "APT. 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241848",
            "telephone_number": "212-873-3123",
            "fax_number": "212-595-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W 89TH ST",
            "address_2": "APT. 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241848",
            "telephone_number": "212-873-3123",
            "fax_number": "212-595-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "name_suffix": "Sr.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "157421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "144702",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-BMP",
            "identifier": "0063849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.