Individual provider Active NPI

Estelle Zaga

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1093233058
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100061 Issued in NY
Practice address
1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone
(718) 787-1600
NPI assigned
Aug 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100061 NY Primary

Addresses

Primary practice location

1955 McDonald Ave
Brooklyn, NY 11223-1805

Mailing address

3841 Bedford Ave
Brooklyn, NY 11229-2411
Phone (646) 549-7472

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
I20250211002559 NY Practitioner - Clinical Social Worker 9436689163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100061NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Community Service Network, Inc. CurrentSince Jul 24, 2022 Accepting new patients
Interborough Developmental and Consultation Center, Inc. Social Worker CurrentSince Jan 27, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Jan 27, 2025 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

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": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093233058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 BEDFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292411",
            "telephone_number": "646-549-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGA",
        "first_name": "ESTELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.