Individual provider Active NPI

Martina De Giorgis, LCSW, JD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1952609083
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077563 Issued in NY
Practice address
925 Park Ave
1B
New York, NY 10028-0210
Phone
(917) 756-7426
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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 077563 NY Primary

Addresses

Primary practice location

925 Park Ave
1B
New York, NY 10028-0210

Mailing address

55 E 86TH St
17A
New York, NY 10028-1059
Phone (917) 756-7426

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
I20110523000525 NY Practitioner - Clinical Social Worker 3173709383 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Martina de Giorgis LCSW
55 E 86TH STR. 17a
New York, NY 10028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1952609083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 86TH ST",
            "address_2": "17A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281059",
            "telephone_number": "917-756-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 PARK AVE",
            "address_2": "1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280210",
            "telephone_number": "917-756-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GIORGIS",
        "first_name": "MARTINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW, JD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.