Nina S. Dobris, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073167-1 Issued in NY

Practice address

6725 Dartmouth St
Apt. 4H
Forest Hills, NY 11375-4058

Phone

(917) 604-8177

NPI assigned

Jun 12, 2015

Last updated

Jun 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Long Island Elder Care LCSW PLLCGroup PAC ID 8224038286, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Elder Care LCSW PLLC

  • Social Worker
  • Smithtown, NY
  • NPI 1295763852
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1205217585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 DARTMOUTH ST",
            "address_2": "APT. 4H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754058",
            "telephone_number": "917-604-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 DARTMOUTH ST",
            "address_2": "APT. 4H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754058",
            "telephone_number": "917-604-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBRIS",
        "first_name": "NINA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073167-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DJ Drug Corp. (Forest Hills Pharmacy)
• DJ Drug Corp. (Forest Hills Pharmacy)
• Vallerie Gabriella Djojoseparto, PA-C
• DLZ Geriatric Psychological Services P.C.
• Euphoria Jolean Dobbs, MHC-LP
• Silvio Dobry, LMSW
• Abigail Marie Agustero Docena
• Doctor Gerova Medical PLLC
• Amy Doczynski
• Bhupendra T. Dodhiawala, MD

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, 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 Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.