Individual provider Active NPI

Charles Sock, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1881958379
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
064750 Issued in NY
Practice address
743 E 9TH St
New York, NY 10009-5335
Phone
(212) 677-7999
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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 064750 NY Primary

Addresses

Primary practice location

743 E 9TH St
New York, NY 10009-5335

Mailing address

743 E 9TH St
New York, NY 10009-5335
Phone (212) 677-7999

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
I20150430001773 NY Practitioner - Clinical Social Worker 5193044899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cassandra Reid LLCGroup PAC ID 1153619655, 6 clinicians

Practice addresses (Care Compare)

113 University PL
FL 8
New York, NY 10003-4527
Phone (347) 460-6588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
064750NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Reid LLC Clinical CurrentSince Feb 19, 2025 Accepting new patients

Locations

26 Court St
Brooklyn, NY 11242
Phone (718) 283-8225

113 University Pl
#3F
New York, NY 10003

113 University Pl
Fl 11
New York, NY 10003
Phone (412) 465-0513

113 University Pl
Fl 8
New York, NY 10003
Phone (347) 460-6588

113 University Pl
New York, NY 10003
Phone (917) 902-4248

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1881958379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E 9TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100095335",
            "telephone_number": "212-677-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E 9TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100095335",
            "telephone_number": "212-677-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCK",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "064750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.