Individual provider Active NPI

Eve Kambitsis Woodfin, LCSW

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1881750453
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
044598 Issued in NY
Practice address
455 Main St
Suite 204
New Rochelle, NY 10801-6424
Phone
(914) 588-3086
NPI assigned
Dec 28, 2006
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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 044598 NY Primary

Addresses

Primary practice location

455 Main St
Suite 204
New Rochelle, NY 10801-6424

Mailing address

1074 Washington Ave
Pelham, NY 10803-3212
Phone (914) 738-9622

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
I20040427001478 NY Practitioner - Clinical Social Worker 3870580301 Practice locations: New Rochelle, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

271 N Ave
Suite 1009
New Rochelle, NY 10801-5118
Phone (914) 588-3086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044598NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1881750453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 WASHINGTON AVE",
            "city": "PELHAM",
            "state": "NY",
            "postal_code": "108033212",
            "telephone_number": "914-738-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 MAIN ST",
            "address_2": "SUITE 204",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108016424",
            "telephone_number": "914-588-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFIN",
        "first_name": "EVE",
        "middle_name": "KAMBITSIS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.