Individual provider Active NPI

Sidney Pech, L.C.S.W.

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1932189313
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO28799-1 Issued in NY
Practice address
2626 E 14TH St Ste 101E
Brooklyn, NY 11235-3976
Phone
(718) 715-6666
NPI assigned
Jan 20, 2006
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 RO28799-1 NY Primary

Addresses

Primary practice location

2626 E 14TH St Ste 101E
Brooklyn, NY 11235-3976

Mailing address

2626 E 14TH St Ste 101E
Brooklyn, NY 11235-3976
Phone (718) 715-6666

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
I20050802001156 NY Practitioner - Clinical Social Worker 5991733792 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2626 E 14TH St
101E
Brooklyn, NY 11235-3976
Phone (718) 715-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO28799-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1932189313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 101E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353976",
            "telephone_number": "718-715-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 14TH ST STE 101E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353976",
            "telephone_number": "718-715-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECH",
        "first_name": "SIDNEY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO28799-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.