Active NPI
Anna Miretsky, LMSW
- School Social Worker
- Brooklyn, NY
National Provider Identifier
1093481012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 113688
- Practice address
- 2020 Coney Island Ave
Brooklyn, NY 11223-2329 - Phone
- (475) 529-0045
- NPI assigned
- Aug 19, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 113688 | NY | Primary |
Addresses
Primary practice location
2020 Coney Island Ave
Brooklyn, NY 11223-2329
Mailing address
2020 Coney Island Ave
Brooklyn, NY 11223-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 20, 2025 through May 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113688 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1093481012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112232329",
"telephone_number": "475-529-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRETSKY",
"first_name": "ANNA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-19",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "113688",
"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 Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.