Individual provider Active NPI

Galina Itskovich, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1013004878
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R057965-1 Issued in NY
Practice address
26 Court St
#808
Brooklyn, NY 11242-0103
Phone
(718) 781-8513
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R057965-1 NY Primary

Addresses

Primary practice location

26 Court St
#808
Brooklyn, NY 11242-0103

Mailing address

1525 Marine Pkwy
Brooklyn, NY 11234-3413
Phone (718) 781-8513

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000746 NY Practitioner - Clinical Social Worker 2264467786 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Psychiatric Services PCGroup PAC ID 2365789674, 26 clinicians

Practice addresses (Care Compare)

26 Court St
Suite 1510
Brooklyn, NY 11242-0103
Phone (718) 522-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057965-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Psychiatric Services PC CurrentSince Apr 1, 2025 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical Past Accepting new patients
East Point Medical PC Clinical Past Accepting new patients
Jewish Board for Family and Children Services Past Accepting new patients
Rudoy Medical PC Past Accepting new patients

Locations

26 Court St
Ste 808
Brooklyn, NY 11242
Phone (718) 307-1577

26 Court St
Ste 1510
Brooklyn, NY 11242
Phone (718) 522-3600

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHDDCD/Endpoint/DHDDCD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1013004878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 MARINE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343413",
            "telephone_number": "718-781-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST",
            "address_2": "#808",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112420103",
            "telephone_number": "718-781-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITSKOVICH",
        "first_name": "GALINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057965-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.