Individual provider Active NPI

Yeva Trineeva, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1023209749
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0568551-1 Issued in NY
Practice address
3111 Ocean Pkwy
5H
Brooklyn, NY 11235-8400
Phone
(718) 265-6112
Fax
(718) 616-3209
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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 R0568551-1 NY Primary

Addresses

Primary practice location

3111 Ocean Pkwy
5H
Brooklyn, NY 11235-8400

Mailing address

3111 Ocean Pkwy
5H
Brooklyn, NY 11235-8400
Phone (718) 265-6112

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
I20101008000127 NY Practitioner - Clinical Social Worker 6901098953 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3111 Ocean Pkwy
5H
Brooklyn, NY 11235-8442
Phone (347) 275-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0568551-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1023209749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 OCEAN PKWY",
            "address_2": "5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358400",
            "telephone_number": "718-265-6112",
            "fax_number": "718-616-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 OCEAN PKWY",
            "address_2": "5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358400",
            "telephone_number": "718-265-6112",
            "fax_number": "718-616-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINEEVA",
        "first_name": "YEVA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0568551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.