Active NPI
Todd Sibener, LCSW
- Clinical Social Worker
- Kew Gardens, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076294
- Practice address
- 8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607 - Phone
- (718) 520-1513
- Fax
- (718) 520-6460
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 6439761 | NY | |
| Clinical Social Worker | 1041C0700X | 076294 | NY | Primary |
Addresses
Primary practice location
8002 Kew Gardens Rd Ste 704
Kew Gardens, NY 11415-3607
Mailing address
320 E 85TH St
New York, NY 10028-5466
Other practice location 1
3312 Surf Ave # 30
Brooklyn, NY 11224-1406
Phone (718) 372-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01420795 | Medicaid | NY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9002 161St St
Jamaica, NY 11432-6108
Phone (718) 520-1513
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6439761 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arms Acres Inc | Current | Accepting new patients | |
| Arms Acres Inc | Current | Accepting new patients | |
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients | |
| Arms Acres, Inc. | Past | Accepting new patients | |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
Locations
9002 161st St
Jamaica, NY 11432
Phone (718) 520-1513
8002 Kew Gardens Rd
Ste 704
Kew Gardens, NY 11415
Phone (718) 520-1513
79 Glenridge Rd
Scotia, NY 12302
Phone (518) 952-8142
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Substance Use Disorder Rehabilitation Clinic/Center
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-
- Clinical Social Worker
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- NPI 1881910131
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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- NPI 1548373921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1851408686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E 85TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100285466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8002 KEW GARDENS RD STE 704",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "114153607",
"telephone_number": "718-520-1513",
"fax_number": "718-520-6460"
}
],
"practiceLocations": [
{
"address_1": "3312 Surf Ave # 30",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112241406",
"country_code": "US",
"telephone_number": "718-372-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIBENER",
"first_name": "TODD",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "6439761",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420795",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.