Individual provider Active NPI

Ekaterina Baksheeva

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1043863343
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104467-1 Issued in NY
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

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Professional name

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
I20230328001847 NY Practitioner - Clinical Social Worker 0446622302 Reassigns benefits to 2 organizations
Practice locations: Staten Island, NY

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

LicenseStateTypeSpecialty
104467-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care Psychology of Ny PC Single Specialty CurrentSince Jan 1, 2023 Accepting new patients
Ekaterina Baksheeva LCSW PLLC Single Specialty CurrentSince Nov 1, 2025 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.

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

Verify at the official NPI Registry.