Individual provider Active NPI

Avi Gardenswartz, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1144648536
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083934 Issued in NY
Practice address
1535 E 10TH St
Brooklyn, NY 11230
Phone
(718) 535-1977
NPI assigned
Apr 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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 083934 NY Primary

Addresses

Primary practice location

1535 E 10TH St
Brooklyn, NY 11230

Mailing address

1221 E 14TH St
Brooklyn, NY 11230-4803
Phone (718) 535-1977

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
I20250114001145 NY Practitioner - Clinical Social Worker 8820526148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamaspik of Kings County, Inc.Group PAC ID 8628472768, 18 clinicians

Practice addresses (Care Compare)

4102 13TH Ave
Brooklyn, NY 11219-1389
Phone 7184008899106

4102 14TH Ave
Brooklyn, NY 11219-1401
Phone (718) 387-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamaspik of Kings County CurrentSince Jan 3, 2025 Accepting new patients
Hamaspik of Kings County, Inc. CurrentSince Jan 3, 2025 Accepting new patients

Locations

4102 14th Ave
Fl 2
Brooklyn, NY 11219
Phone (718) 387-8400

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1144648536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112304803",
            "telephone_number": "718-535-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 E 10TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11230",
            "telephone_number": "718-535-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDENSWARTZ",
        "first_name": "AVI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-02",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.