Individual provider Active NPI

Niraj Shyamkishor Delhiwala, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1932340965
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079598 Issued in NY
Practice address
411 Lafayette St
Suite # 638
New York, NY 10003-7032
Phone
(646) 733-6529
Fax
(646) 774-0385
NPI assigned
Mar 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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 079598 NY Primary

Addresses

Primary practice location

411 Lafayette St
Suite # 638
New York, NY 10003-7032

Mailing address

8515 Main St
Apt # 8G
Jamaica, NY 11435-1879
Phone (646) 733-6529

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
I20130502000045 NY Practitioner - Clinical Social Worker 2163669565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manhattan Counseling LCSW PC CurrentSince Feb 27, 2013 Accepting new patients
LMSW Counseling Associates of New York PC PastSince Jan 1, 2019 Accepting new patients
LMSW Counseling Associates of New York PC Clinical Past Accepting new patients
Union Square Counseling LCSW P.C. Past Accepting new patients

Locations

411 Lafayette St
Ste 638
New York, NY 10003
Phone (646) 203-1506

156 5th Ave
Ste 1208
New York, NY 10010
Phone (646) 522-7477

Organizations & group practices 4

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": "1237680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1932340965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 MAIN ST",
            "address_2": "APT # 8G",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351879",
            "telephone_number": "646-733-6529",
            "fax_number": "646-774-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAFAYETTE ST",
            "address_2": "SUITE # 638",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037032",
            "telephone_number": "646-733-6529",
            "fax_number": "646-774-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELHIWALA",
        "first_name": "NIRAJ",
        "middle_name": "SHYAMKISHOR",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-22",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.