Individual provider Active NPI

Tzipora Vachss

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1174040281
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone
(718) 382-0045
Fax
(718) 859-7157
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

1955 McDonald Ave
Brooklyn, NY 11223-1805

Mailing address

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

Other practice location 1

3709 Flatlands Ave
Brooklyn, NY 11234-3507
Phone (718) 444-7766

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
I20230323002885 NY Practitioner - Clinical Social Worker 0345614822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SBH Community Service Network IncGroup PAC ID 4082713839, 17 clinicians

Practice addresses (Care Compare)

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091873NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Community Service Network, Inc. CurrentSince Dec 6, 2024 Accepting new patients
Kings County House Calls NP in Family Health PLLC CurrentSince Mar 15, 2023 Accepting new patients

Locations

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

3709 Flatlands Ave
Brooklyn, NY 11234
Phone (646) 535-1545

425 Kings Hwy
Brooklyn, NY 11223

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1174040281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-382-0045",
            "fax_number": "718-859-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3709 Flatlands Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112343507",
            "country_code": "US",
            "telephone_number": "718-444-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VACHSS",
        "first_name": "TZIPORA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.