Active NPI
Yair Oelbaum, LCSW
- Clinical Social Worker
- Baldwin, NY
National Provider Identifier
1942746169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 09022301
- Practice address
- 2277 Grand Ave
Baldwin, NY 11510-3148 - Phone
- (516) 377-5400
- NPI assigned
- Jan 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 097948 | NY | |
| Clinical Social Worker | 1041C0700X | 09022301 | NY | Primary |
Addresses
Primary practice location
2277 Grand Ave
Baldwin, NY 11510-3148
Mailing address
2277 Grand Ave
Baldwin, NY 11510-3148
Phone (516) 377-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097948 | NY | MD | Social Worker |
| 09022301 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1942746169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2277 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103148",
"telephone_number": "516-377-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2277 GRAND AVE",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103148",
"telephone_number": "516-377-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OELBAUM",
"first_name": "YAIR",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-11",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "097948",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "09022301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.