Active NPI
Paul Novello, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1871798181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R057128-1
- Practice address
- 352 7TH Ave
1215
New York, NY 10001-5012 - Phone
- (917) 705-8533
- Fax
- (917) 705-8533
- NPI assigned
- Jun 18, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R057128-1 | NY | Primary |
Addresses
Primary practice location
352 7TH Ave
1215
New York, NY 10001-5012
Mailing address
4730 217TH St Apt 2a
Bayside, NY 11361-3567
Phone (718) 225-2599
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 |
|---|---|---|---|
| R057128-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871798181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4730 217TH ST APT 2A",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613567",
"telephone_number": "718-225-2599",
"fax_number": "718-225-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 7TH AVE",
"address_2": "1215",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100015012",
"telephone_number": "917-705-8533",
"fax_number": "917-705-8533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVELLO",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R057128-1",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.