Individual provider Active NPI

Christopher Dennis, M.S.W.

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1225440084
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60724643 Issued in WA
Practice address
1045 Sterling PL Apt 1B
Brooklyn, NY 11213-2563
Phone
(509) 270-9706
NPI assigned
May 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW60724643 WA Primary
Clinical Social Worker 1041C0700X CW022225 PA

Addresses

Primary practice location

1045 Sterling PL Apt 1B
Brooklyn, NY 11213-2563

Mailing address

1045 Sterling PL Apt 1B
Brooklyn, NY 11213-2563
Phone (509) 270-9706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220928000423 WA Practitioner - Clinical Social Worker 9436535598
I20231020000077 NY Practitioner - Clinical Social Worker 9436535598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW022225PAMDClinical Social Worker
LW60724643WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Community Living , Inc. CurrentSince Oct 2, 2023 Accepting new patients
Mindstrong Health Services, PC PastSince Feb 26, 2019 Accepting new patients

Locations

2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700

484 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 290-8100

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

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": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1225440084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 STERLING PL APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132563",
            "telephone_number": "509-270-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 STERLING PL APT 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132563",
            "telephone_number": "509-270-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CHRISTOPHER",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60724643",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.