Individual provider Active NPI

Nikita Renee Dow

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1043971245
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089536 Issued in NY
Practice address
455 Sutter Ave
Brooklyn, NY 11212-8111
Phone
(718) 765-6550
Fax
(347) 620-9739
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 089536 NY Primary

Addresses

Primary practice location

455 Sutter Ave
Brooklyn, NY 11212-8111

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

119 N Park Ave
Bay Shore, NY 11706-7224
Phone (631) 223-9665

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL nikitadow1@gmail.com Direct

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
I20240816000572 NY Practitioner - Clinical Social Worker 3779021167 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089536NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nikita Dow Counseling and Consulting CurrentSince Nov 30, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 8, 2024 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jun 8, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jun 8, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Jun 8, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jun 8, 2024 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

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

Organizations & group practices 6

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1043971245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SUTTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112128111",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 N Park Ave",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117067224",
            "country_code": "US",
            "telephone_number": "631-223-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOW",
        "first_name": "NIKITA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nikitadow1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "119 N Park Ave",
            "city": "Bay Shore",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117067224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.