Phyllis Itzkowitz, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR12785 Issued in NY

Practice address

125 E 87TH St
Suite 17C
New York, NY 10128-1124

Phone

(212) 369-8879

NPI assigned

Nov 14, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Phyllis Mervis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972675114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E 87TH ST",
            "address_2": "17C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281124",
            "telephone_number": "212-369-8879",
            "fax_number": "212-534-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 87TH ST",
            "address_2": "SUITE 17C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281124",
            "telephone_number": "212-369-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITZKOWITZ",
        "first_name": "PHYLLIS",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PR12875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR12785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "PR12875 LCSW",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "MERVIS",
            "prefix": "DR.",
            "credential": "DSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lili Tate Itzhaki
• Sabrina Itzhaki, MS CCC-SLP
• Amanda Itzkoff, MD
• Sarah Itzkoff, LMSW
• Jaclyn Itzkowitz, PA-C
• Sheldon Itzkowitz, PH.D.
• Steven H Itzkowitz, MD
• Kin Wah Iu, RD, CDN, CNSC, RYT
• Toni Pilar Iurcotta, MD
• Evguenia Ivakhnitskaia

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.