Individual provider Active NPI

Alexander Bogomolnik, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1063818540
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087149 Issued in NY
Practice address
203 Jay St Ste 501
Brooklyn, NY 11201-4398
Phone
(347) 304-9465
NPI assigned
Nov 12, 2014
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 087149 NY Primary

Addresses

Primary practice location

203 Jay St Ste 501
Brooklyn, NY 11201-4398

Mailing address

203 Jay St Ste 501
Brooklyn, NY 11201-4398
Phone (347) 304-9465

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
I20190529002785 NY Practitioner - Clinical Social Worker 0941543268 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians
Brooklyn Psychotherapy Services LCSW PLLCGroup PAC ID 1153628490, 6 clinicians

Practice addresses (Care Compare)

203 Jay St
Suite 501
Brooklyn, NY 11201-4398
Phone (347) 304-9465

2829 Ocean Pkwy
Suite 2
Brooklyn, NY 11235-7859
Phone (917) 933-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087149NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychotherapy Services LCSW PLLC Clinical CurrentSince Jan 7, 2026 Accepting new patients
Carmel Psychological Health, PC Clinical CurrentSince Apr 20, 2026 Accepting new patients
Integrative Psychotherapists LCSW LLC Clinical PastSince Jun 2, 2018 Accepting new patients

Locations

203 Jay St
Ste 501
Brooklyn, NY 11201
Phone (347) 304-9465

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1063818540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 JAY ST STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014398",
            "telephone_number": "347-304-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 JAY ST STE 501",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014398",
            "telephone_number": "347-304-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGOMOLNIK",
        "first_name": "ALEXANDER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-12",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.