Active NPI
Sarah Dzimian
- Social Worker
- Kingston, NY
National Provider Identifier
1972255735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 113837-01
- Practice address
- 1 N Front St
Kingston, NY 12401-3813 - Phone
- (845) 679-8650
- NPI assigned
- Jan 24, 2022
- Last updated
- Jan 24, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 113837-01 | NY | Primary |
Addresses
Primary practice location
1 N Front St
Kingston, NY 12401-3813
Mailing address
5 Greenhill Dr Apt 20E
Fishkill, NY 12524-3707
Phone (860) 810-7225
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113837-01 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maverick Family Counseling LCSW PLLC | Current | Accepting new patients | |
| Maverick Family Counseling | Social Worker | Past | Accepting new patients |
Locations
404 Zena Rd
Woodstock, NY 12498
Phone (845) 679-5271
404 Zena Rd
Ste 2
Woodstock, NY 12498
Phone (845) 315-7902
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Maverick Family Counseling
- Clinical Social Worker
- Woodstock, NY
- NPI 1104160738
-
- Social Worker
- Woodstock, NY
- NPI 1417163767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1972255735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GREENHILL DR APT 20E",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125243707",
"telephone_number": "860-810-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 N FRONT ST",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124013813",
"telephone_number": "845-679-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIMIAN",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "113837-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.