Individual provider Active NPI

Noel Bohl-Fabian, LCSE

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1821526955
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090025-01 Issued in NY
Practice address
275 Central Park W Apt 1F
New York, NY 10024-3035
Phone
(347) 450-1862
NPI assigned
Jun 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 090025-01 NY Primary

Addresses

Primary practice location

275 Central Park W Apt 1F
New York, NY 10024-3035

Mailing address

346 W 84TH St Apt 2F
New York, NY 10024-4222
Phone (347) 450-1862

Other practice location 1

140 W 79th St Apt 2B
New York, NY 10024
Phone (717) 574-1350

Other practice location 2

100 Park Ave Fl 16
New York, NY 10017-5538
Phone (212) 433-2384

Other practice location 3

1 Hoyt St Fl 7
Brooklyn, NY 11201-5809
Phone (718) 802-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090025-01NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1821526955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 W 84TH ST APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244222",
            "telephone_number": "347-450-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CENTRAL PARK W APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100243035",
            "telephone_number": "347-450-1862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 W 79th St Apt 2B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10024",
            "country_code": "US",
            "telephone_number": "717-574-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Park Ave Fl 16",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100175538",
            "country_code": "US",
            "telephone_number": "212-433-2384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hoyt St Fl 7",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112015809",
            "country_code": "US",
            "telephone_number": "718-802-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHL-FABIAN",
        "first_name": "NOEL",
        "credential": "LCSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090025-01",
            "primary": true
        }
    ],
    "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 Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.