Individual provider Active NPI

Anastatia Fabris, LCSW

  • Clinical Social Worker
  • Larchmont, NY
National Provider Identifier
1841322336
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069704 Issued in NY
Practice address
2005 Palmer Ave # 1182
Larchmont, NY 10538-2437
Phone
(929) 445-3346
NPI assigned
Mar 10, 2007
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 069704-01 NY
Clinical Social Worker 1041C0700X 069704 NY Primary

Addresses

Primary practice location

2005 Palmer Ave # 1182
Larchmont, NY 10538-2437

Mailing address

2005 Palmer Ave # 1182
Larchmont, NY 10538-2437
Phone (929) 445-3346

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
069704-01NYMDClinical Social Worker
069704NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind Wellness Connection LCSW PLLC CurrentSince Jan 3, 2021 Accepting new patients
The Epilepsy Institute Clinical PastSince Apr 9, 2024 Accepting new patients
The Epilepsy Institute PastSince Apr 9, 2024 Accepting new patients
Epilepsy Institute Past Accepting new patients

Locations

2005 Palmer Ave
#1182
Larchmont, NY 10538
Phone (929) 445-3346

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1841322336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PALMER AVE # 1182",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382437",
            "telephone_number": "929-445-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PALMER AVE # 1182",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382437",
            "telephone_number": "929-445-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRIS",
        "first_name": "ANASTATIA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069704-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.