Brooklyn Psychotherapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081378 Issued in NY

Legal business name

BROOKLYN PSYCHOTHERAPY

Practice address

115 Irving Ave
Brooklyn, NY 11237-8024

Phone

(347) 474-8464

NPI assigned

Aug 8, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Gabriella Costa, LCSW

Title

Licensed Clinical Social Worker/Ceo

Phone

(347) 474-8464

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1184033615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAUJER ST APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112061703",
            "telephone_number": "917-612-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 IRVING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378024",
            "telephone_number": "347-474-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "GABRIELLA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/CEO",
        "authorized_official_telephone_number": "347-474-8464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02767839",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Psychiatry PLLC
• Brooklyn Psychological Services
• Brooklyn Psychological Services PLLC
• Brooklyn Psychological Services, PLLC
• Brooklyn Psychology, PC
• Brooklyn Psychotherapy
• Brooklyn Psychotherapy LCSW Services PC
• Brooklyn Psychotherapy Services LCSW PLLC
• Brooklyn Psychotherapy, LCSW, PC
• Brooklyn PT & Rehabilitation, P.C.

• 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 Aug 8, 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.