Individual provider Active NPI

Anna Ioffe, LMSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1952543936
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073375 Issued in NY
Practice address
62 Sparkill Ave
Staten Island, NY 10304-3127
Phone
(718) 974-6512
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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 073375 NY Primary

Addresses

Primary practice location

62 Sparkill Ave
Staten Island, NY 10304-3127

Mailing address

62 Sparkill Ave
Staten Island, NY 10304-3127
Phone (718) 974-6512

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
073375NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LCSW Evaluations and Clinical Social Work, P.C. Clinical PastSince May 30, 2011 Accepting new patients

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1952543936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 SPARKILL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043127",
            "telephone_number": "718-974-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SPARKILL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043127",
            "telephone_number": "718-974-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IOFFE",
        "first_name": "ANNA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.