Individual provider Active NPI

Min Li, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1104535467
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102755 Issued in NY
Practice address
837 58TH St FL 3
Brooklyn, NY 11220-3662
Phone
(718) 686-1533
Fax
(718) 686-8121
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 102755 NY Primary
Social Worker 104100000X 118197 NY

Addresses

Primary practice location

837 58TH St FL 3
Brooklyn, NY 11220-3662

Mailing address

837 58TH St FL 3
Brooklyn, NY 11220-3662
Phone (718) 686-1533

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

State licenses

LicenseStateTypeSpecialty
118197NYMDSocial Worker
102755NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Xu Z. Chen Psychiatrist, LLC CurrentSince Jan 1, 2020 Accepting new patients
Chinese-American Sunshine House Inc Clinical CurrentSince Sep 14, 2020 Accepting new patients

Locations

6304 5th Ave
Ste 1
Brooklyn, NY 11220
Phone (718) 576-3610

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1104535467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 58TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-1533",
            "fax_number": "718-686-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 58TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203662",
            "telephone_number": "718-686-1533",
            "fax_number": "718-686-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "MIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102755",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118197",
            "primary": false
        }
    ],
    "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 Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.