Individual provider Active NPI

Warren Richmond Stevens, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1902970452
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 073881 Issued in NY
Practice address
676 Riverside Dr
Suite 9C
New York, NY 10031-5529
Phone
(646) 206-2263
Fax
(212) 368-5477
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 73 073881 NY Primary

Addresses

Primary practice location

676 Riverside Dr
Suite 9C
New York, NY 10031-5529

Mailing address

676 Riverside Dr
Suite 9C
New York, NY 10031-5529
Phone (646) 206-2263

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
I20070330000050 NY Practitioner - Clinical Social Worker 3870697915 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73 073881NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC CurrentSince Jan 1, 2025 Accepting new patients
Upper Room AIDS Ministry, Inc. Adult Day Health Care Center. Clinical CurrentSince Aug 28, 2023 Accepting new patients
Shlomit Levy PastSince Aug 28, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2975 Independence Ave
Bronx, NY 10463
Phone (718) 542-1700

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

306 Malcolm X Blvd
Fl 3
New York, NY 10027
Phone (212) 803-2850

169 W 133rd St
New York, NY 10030
Phone (646) 762-4950

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1902970452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 RIVERSIDE DR",
            "address_2": "SUITE 9C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315529",
            "telephone_number": "646-206-2263",
            "fax_number": "212-368-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 RIVERSIDE DR",
            "address_2": "SUITE 9C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100315529",
            "telephone_number": "646-206-2263",
            "fax_number": "212-368-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "WARREN",
        "middle_name": "RICHMOND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 073881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.