Eddie Pabon, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EDDIE PABON, LCSW, PLLC

Practice address

26 W 9TH St Apt 6C
New York, NY 10011-8922

Phone

(917) 751-5596

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

Eddie Pabon, LCSW

Title

President

Phone

(917) 751-5596

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Spina, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1215099098
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1881260529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 MIDDLETOWN RD APT 4N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104615318",
            "telephone_number": "917-751-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W 9TH ST APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118922",
            "telephone_number": "917-751-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE PABON, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "PABON",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-751-5596",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962644823",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE NUMBER",
            "identifier": "080720",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Srinivasa Edara, MD
• David Edasery, MD
• Srinivasa Rao Edavalapati, M.PHARM
• Rajeswari Edayathumangalam
• Gary Erwin Eddey, M.D.
• Dawud Eddings
• Keith Eddleman, M.D.
• Vanessa Eddy-Abrams
• Jessica Ann Eddy, PHD
• Lauren Elizabeth Eddy, MSN, RN, AGNP-C

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.