Fanny Pertnoy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

086153-1 Issued in NY

Practice address

515 Madison Ave FL 21
New York, NY 10022-5433

Phone

(203) 984-5686

NPI assigned

Mar 26, 2014

Last updated

Jan 10, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fanny Pertnoy

  • Clinical Social Worker
  • New York, NY
  • NPI 1669007209
  NPD (past) Authorized official

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1982021143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W 96TH ST APT 14D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256525",
            "telephone_number": "203-984-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE FL 21",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225433",
            "telephone_number": "203-984-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTNOY",
        "first_name": "FANNY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086153-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Personelli
• Persons Psychology, PLLC (NYC Therapy and Wellness)
• Persons Psychology, PLLC
• Perspective Psychiatry LLC
• Marjan Persuh
• Vera Pertsovskaya, MD
• Eliza Victoria Pertz, LCSW
• Michael Peruggia Jr., MD
• Jai Swarna Perumal, M.D.
• Brianna Perumpail, PHARMD

• 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 Jan 10, 2019; 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.