Individual provider Active NPI

Yuliya Khripunkova, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1003516428
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
112497 Issued in NY
Practice address
610 Ovington Ave Apt 4F
Brooklyn, NY 11209-1669
Phone
(646) 806-5103
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 112497 NY Primary

Addresses

Primary practice location

610 Ovington Ave Apt 4F
Brooklyn, NY 11209-1669

Mailing address

610 Ovington Ave Apt 4F
Brooklyn, NY 11209-1669
Phone (646) 806-5103

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
112497NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1003516428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 OVINGTON AVE APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091669",
            "telephone_number": "646-806-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OVINGTON AVE APT 4F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091669",
            "telephone_number": "646-806-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHRIPUNKOVA",
        "first_name": "YULIYA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.