Individual provider Active NPI

Anita J Cleary, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1164930749
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
027456 Issued in NY
Practice address
7510 4TH Ave Ste 4
Brooklyn, NY 11209-3200
Phone
(718) 278-7300
Fax
(718) 738-6194
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 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 027456 NY Primary

Addresses

Primary practice location

7510 4TH Ave Ste 4
Brooklyn, NY 11209-3200

Mailing address

7510 4TH Ave Ste 4
Brooklyn, NY 11209-3200
Phone (718) 278-7300

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
I20180403002586 NY Practitioner - Clinical Social Worker 4385906379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
4N Medical Care PCGroup PAC ID 2365669322, 2 clinicians

Practice addresses (Care Compare)

7510 4TH Ave
Suite 4
Brooklyn, NY 11209-3200
Phone (347) 578-7340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
4N Medical Care PC CurrentSince Jan 7, 2018 Accepting new patients
Anesthesiology Associates of Boro Park, LLP Past Accepting new patients

Locations

3708 28th Ave
Ste 100A
Astoria, NY 11103
Phone (718) 278-7300

7510 4th Ave
Ste 4
Brooklyn, NY 11209
Phone (347) 578-7340

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1164930749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093200",
            "telephone_number": "718-278-7300",
            "fax_number": "718-738-6194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 4TH AVE STE 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093200",
            "telephone_number": "718-278-7300",
            "fax_number": "718-738-6194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "ANITA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "027456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.