Active NPI
Shoshana Averbach, LMSW, MA,LCAT,MT-BC
- Social Worker
- Brooklyn, NY
National Provider Identifier
1073678231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 075980
- Practice address
- 812 Avenue O FL 1
Brooklyn, NY 11230-6415 - Phone
- (718) 266-7841
- NPI assigned
- Dec 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 000035 | NY | |
| Social Worker | 104100000X | 075980 | NY | Primary |
Addresses
Primary practice location
812 Avenue O FL 1
Brooklyn, NY 11230-6415
Mailing address
812 Avenue O FL 1
Brooklyn, NY 11230-6415
Phone (718) 266-7841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000035 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1073678231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 AVENUE O FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306415",
"telephone_number": "718-266-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 AVENUE O FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112306415",
"telephone_number": "718-266-7841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERBACH",
"first_name": "SHOSHANA",
"name_prefix": "Ms.",
"credential": "LMSW, MA,LCAT,MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NY",
"license": "000035",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.