Active NPI
Ekaterina Baksheeva
- Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104467-1
- Practice address
- 8792 16TH Ave FL 2
Brooklyn, NY 11214-5802 - Phone
- (347) 320-9793
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 104467-1 | NY | Primary |
Addresses
Primary practice location
8792 16TH Ave FL 2
Brooklyn, NY 11214-5802
Mailing address
8792 16TH Ave FL 2
Brooklyn, NY 11214-5802
Phone (347) 320-9793
Other names 1
- Mrs. Ekaterina Baksheeva
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27 A Gardenia LN
Staten Island, NY 10314-5841
Phone (347) 320-9793
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104467-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supportive Care Psychology of Ny PC | Single Specialty | Current | Accepting new patients |
| Ekaterina Baksheeva LCSW PLLC | Single Specialty | Current | Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
325 Northern Blvd
Albany, NY 12204
Phone (518) 328-3605
7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200
170 Lake St
Liberty, NY 12754
Phone (845) 292-4200
330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Staten Island, NY
- NPI 1427822501
Single Specialty
-
- Clinical Psychologist
- Howell, NJ
- NPI 1104315068
NY, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1043863343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8792 16TH AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145802",
"telephone_number": "347-320-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8792 16TH AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145802",
"telephone_number": "347-320-9793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKSHEEVA",
"first_name": "EKATERINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "104467-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EKATERINA",
"last_name": "BAKSHEEVA",
"prefix": "MRS.",
"credential": "LMSW",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.