NPIMap

Organization Active NPI

Housing Works Services II, Inc

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
National Provider Identifier
1083647101
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOUSING WORKS SERVICES II, INC
Practice address
57 Willoughby St
Brooklyn, NY 11201-5257
Phone
(718) 408-6522
Fax
(929) 480-9133
NPI assigned
Jul 9, 2006
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HOUSING WORKS SERVICES II, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Debora Carrero
Title
Director of Credentialing
Phone
(718) 408-6522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

57 Willoughby St
Brooklyn, NY 11201-5257

Mailing address

57 Willoughby St
2ND FL Credentialing Dept.
Brooklyn, NY 11201-5257
Phone (718) 408-6522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110930000154 NY Part B Supplier - Clinic/Group Practice 7911179627 Receives reassigned benefits from 45 practitioners
Practice locations: Brooklyn, NY
O20151210000035 NY Part A Provider - Federally Qualified Health Center (FQHC) 7911179627 Practice locations: Brooklyn, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083647101. Details of each certification follow.

Federally qualified health center certification: CCN 331187

Legal name
HOUSING WORKS SERVICES II INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 31, 2015
Last certification
Dec 31, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 15, 1995 in NY
Enrollment address
57 Willoughby St
Brooklyn, NY 11201-5257

National Provider Directory

National Provider Directory
Part of
Housing Works Services II Inc

Locations

120 Lawrence St
Brooklyn, NY 11201
Phone (347) 473-7400

2 Gansevoort St
Fl 4
New York, NY 10014
Phone (212) 645-8111

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jolanta Ilczuk Individual Corporate Director Aug 12, 2011
Matthew Bernardo Individual Corporate Director Aug 12, 2011
Chenelle Nixon Individual Corporate Director Jul 1, 2013
Frank Quintero Individual Corporate Director Sep 1, 2014
Kathy Gueye Individual Corporate Director Sep 1, 2011
Debora Carrero Individual Corporate DirectorDirector of Credentialing Jan 1, 2016
W-2 Managing EmployeeDirector of Credentialing Jan 1, 2016
Marion Conde Individual Corporate Director Jul 1, 2013

Practitioners & affiliated clinicians

Practitioners 58

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1083647101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILLOUGHBY ST",
            "address_2": "2ND FL CREDENTIALING DEPT.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015257",
            "telephone_number": "718-408-6522",
            "fax_number": "929-480-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILLOUGHBY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015257",
            "telephone_number": "718-408-6522",
            "fax_number": "929-480-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSING WORKS SERVICES II, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSING WORKS SERVICES II, INC",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "CARRERO",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "718-408-6522"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.