Active NPI
Michael Fink, L.C.S.W.-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1962507111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R039812
- Practice address
- 19 W 34TH St
Suite PH
New York, NY 10001-3006 - Phone
- (917) 837-8569
- NPI assigned
- Sep 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R039812 | NY | Primary |
Addresses
Primary practice location
19 W 34TH St
Suite PH
New York, NY 10001-3006
Mailing address
99 Wall Street
Hri 9TH Floor- Attn: M. Fink -Eap
New York, NY 10005
Phone (917) 837-8569
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
| License | State | Type | Specialty |
|---|---|---|---|
| R039812 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1962507111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 WALL STREET",
"address_2": "HRI 9TH FLOOR- ATTN: M. FINK -EAP",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10005",
"telephone_number": "917-837-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W 34TH ST",
"address_2": "SUITE PH",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013006",
"telephone_number": "917-837-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINK",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "L.C.S.W.-R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R039812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.