Ksenia Meshcheryakova, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

N 081704 Issued in NY

Practice address

1628 W 2ND St
1 Floor
Brooklyn, NY 11223-1624

Phone

(718) 645-5677

Fax

(718) 645-5430

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1104994763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W 2ND ST",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231624",
            "telephone_number": "718-645-5677",
            "fax_number": "718-645-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W 2ND ST",
            "address_2": "1 FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231624",
            "telephone_number": "718-645-5677",
            "fax_number": "718-645-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHCHERYAKOVA",
        "first_name": "KSENIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "N 081704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonid Mesamed, DDS
• Nancy Mesch, MA. ED
• Maria Meserole, PHARM.D.
• Mahlet Seyoum Mesfin, DPM
• Alla Mesh, MD
• Chaya G Meshizahav, LMSW
• Kalya Meshulam, OTR/L
• Jasmine Bianca Mesidor
• Marino Mesidor, M.D.
• Micheline Mesidor, MS

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.