Individual provider Active NPI

Faith Kiermaier Feder, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1871698720
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041929-1 Issued in NY
Practice address
98 Riverside Dr Ste 1a
New York, NY 10024
Phone
(646) 709-6913
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 R041929-1 NY Primary

Addresses

Primary practice location

98 Riverside Dr Ste 1a
New York, NY 10024

Mailing address

98 Riverside Dr Ste 1a
New York, NY 10024-5323
Phone (646) 709-6913

Other practice location 1

15 W 65th St
7th Floor
New York, NY 10023-6601
Phone (212) 769-7813

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
I20050106000577 NY Practitioner - Clinical Social Worker 1254389273 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

251 Central Park W
Suite 1a
New York, NY 10024-4111
Phone (646) 709-6913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041929-1NYMDClinical Social Worker
041929NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1871698720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 RIVERSIDE DR STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245323",
            "telephone_number": "646-709-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 RIVERSIDE DR STE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10024",
            "telephone_number": "646-709-6913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 W 65th St",
            "address_2": "7th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100236601",
            "country_code": "US",
            "telephone_number": "212-769-7813",
            "fax_number": "212-769-7869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEDER",
        "first_name": "FAITH",
        "middle_name": "KIERMAIER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041929-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.