Individual provider Active NPI

Zivia Bairey, CREATIVE A T SOC WKR

  • Clinical Social Worker
  • New Rochelle, NY
National Provider Identifier
1992909253
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I 0700015 Issued in OH
Practice address
17 Risley Place
New Rochelle, NY 10801
Phone
(914) 632-0242
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X LCAT000015 NY
Clinical Social Worker 1041C0700X I 0700015 OH Primary
Clinical Social Worker 1041C0700X LCSW075860 NY

Addresses

Primary practice location

17 Risley Place
New Rochelle, NY 10801

Mailing address

27020 Cedar Rd Apt 117-1
Beachwood, OH 44122-1136
Phone (917) 518-8595

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

LicenseStateTypeSpecialty
LCSW075860NYMDClinical Social Worker
I 0700015OHMDClinical Social Worker
LCAT000015NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1992909253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27020 CEDAR RD APT 117-1",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441221136",
            "telephone_number": "917-518-8595",
            "fax_number": "216-765-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RISLEY PLACE",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10801",
            "telephone_number": "914-632-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIREY",
        "first_name": "ZIVIA",
        "name_prefix": "Ms.",
        "credential": "CREATIVE A T SOC WKR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "LCAT000015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I 0700015",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "LCSW075860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.