Active NPI
Sofia Balanovsky
- Social Worker
- New York, NY
National Provider Identifier
1871370130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091113
- Practice address
- 463 Seventh Ave
18TH Floor
New York, NY 10018 - Phone
- (647) 409-7790
- NPI assigned
- Sep 11, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 091113 | NY | Primary |
Addresses
Primary practice location
463 Seventh Ave
18TH Floor
New York, NY 10018
Mailing address
463 Seventh Ave
18TH Floor
New York, NY 10018
Phone (647) 409-7790
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
| License | State | Type | Specialty |
|---|---|---|---|
| 091113 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703289600000",
"number": "1871370130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 SEVENTH AVE",
"address_2": "18TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "647-409-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 SEVENTH AVE",
"address_2": "18TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10018",
"telephone_number": "647-409-7790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALANOVSKY",
"first_name": "SOFIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-12-23",
"certification_date": "2023-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091113",
"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 Dec 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.