Individual provider Active NPI

Amelia Raphaella Paris, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1083772206
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083460 Issued in NY
Practice address
399 Flatbush Ave
Apt. 4
Brooklyn, NY 11238-4999
Phone
(718) 374-1555
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 083460 NY Primary

Addresses

Primary practice location

399 Flatbush Ave
Apt. 4
Brooklyn, NY 11238-4999

Mailing address

399 Flatbush Ave
Apartment #4
Brooklyn, NY 11238-4999
Phone (718) 374-1555

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
I20160502000685 NY Practitioner - Clinical Social Worker 7113226887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Service Program for Older People IncGroup PAC ID 2668373135, 15 clinicians

Practice addresses (Care Compare)

302 W 91St St
New York, NY 10024-1011
Phone (212) 787-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc New York City Chapter CurrentSince May 26, 2016 Accepting new patients
Service Program for Older People, Inc CurrentSince Jul 31, 2016 Accepting new patients
Service Program for Older People PastSince Jul 31, 2016 Accepting new patients

Locations

302 W 91st St
Apt 2
New York, NY 10024

302 W 91st St
New York, NY 10024
Phone 2127877120528

83 Maiden Ln
New York, NY 10038
Phone (212) 780-2578

83 Maiden Ln
Fl 7
New York, NY 10038
Phone (212) 780-2564

83 Maiden Ln
Fl 5
New York, NY 10038
Phone (212) 780-2564

188 W 88th St
New York, NY 10024
Phone 2127877120 ext. 139

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1083772206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 FLATBUSH AVE",
            "address_2": "APARTMENT #4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384999",
            "telephone_number": "718-374-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 FLATBUSH AVE",
            "address_2": "APT. 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384999",
            "telephone_number": "718-374-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "AMELIA",
        "middle_name": "RAPHAELLA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.