Individual provider Active NPI

Eileen Sunshine, LCSW-R

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1023307485
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R050756-1 Issued in NY
Practice address
260 Broadway
Brooklyn, NY 11211-8433
Phone
(347) 505-5182
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 R050756-1 NY Primary

Addresses

Primary practice location

260 Broadway
Brooklyn, NY 11211-8433

Mailing address

260 Broadway 4TH Floor
Brooklyn AIDS Task Force
Brooklyn, NY 11211-8433
Phone (347) 505-5182

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
I20230518000730 NY Practitioner - Clinical Social Worker 2062680457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon Counseling Center IncGroup PAC ID 4880681295, 87 clinicians

Practice addresses (Care Compare)

50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone (516) 569-6600

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as group
Quality
80.43
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R050756-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince May 1, 2023 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince May 15, 2023 Accepting new patients
Bridging Access to Care, Inc. PastSince Oct 12, 2010 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

318 S Albany St
Ithaca, NY 14850
Phone (607) 273-4166

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

Organizations & group practices 3

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1023307485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BROADWAY 4TH FLOOR",
            "address_2": "BROOKLYN AIDS TASK FORCE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118433",
            "telephone_number": "347-505-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118433",
            "telephone_number": "347-505-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSHINE",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.