Individual provider Active NPI

Betsy Wroblewski, LCSW, CAC III

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1154311637
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081794 Issued in NY
Practice address
1651 3Rd Ave
RM 205
New York, NY 10128-3679
Phone
(808) 753-5483
NPI assigned
Oct 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5510 CO
Clinical Social Worker 1041C0700X 992876 CO
Clinical Social Worker 1041C0700X 081794 NY Primary

Addresses

Primary practice location

1651 3Rd Ave
RM 205
New York, NY 10128-3679

Mailing address

1651 3Rd Ave RM 205
New York, NY 10128-3679
Phone (808) 753-5483

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
I20141230000037 NY Practitioner - Clinical Social Worker 5193048080 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1651 3Rd Ave
RM 205
New York, NY 10128-3679
Phone (808) 753-5483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5510COMDAddiction (Substance Use Disorder) Counselor
992876COMDClinical Social Worker
081794NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True Pursuit Psychological Services PC CurrentSince Aug 1, 2014 Accepting new patients

Locations

2860 Bailey Ave
Apt 1A
Bronx, NY 10463
Phone (718) 701-5833

700 W 180th St
Apt 4
New York, NY 10033
Phone (212) 781-6590

Organizations & group practices 1

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1154311637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 3RD AVE RM 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283679",
            "telephone_number": "808-753-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 3RD AVE",
            "address_2": "RM 205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283679",
            "telephone_number": "808-753-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "BETSY",
        "name_prefix": "Ms.",
        "credential": "LCSW, CAC III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "5510",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "992876",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.