Active NPI
Angela Shister, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1235448044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R043689-1
- Practice address
- 532 Neptune Ave
RM 200
Brooklyn, NY 11224-4010 - Phone
- (718) 946-2600
- Fax
- (718) 946-0226
- NPI assigned
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R043689-1 | NY | Primary |
Addresses
Primary practice location
532 Neptune Ave
RM 200
Brooklyn, NY 11224-4010
Mailing address
532 Neptune Ave
RM 200
Brooklyn, NY 11224-4010
Phone (718) 946-2600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- New York University Medical College - NLG, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R043689-1 | NY | MD | Clinical Social Worker |
| 043689 | NY | MD | Pharmacist |
Organizations & group practices 1
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.
-
- Case Management Agency
- Brooklyn, NY
- NPI 1588611842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1235448044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 NEPTUNE AVE",
"address_2": "RM 200",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112244010",
"telephone_number": "718-946-2600",
"fax_number": "718-946-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 NEPTUNE AVE",
"address_2": "RM 200",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112244010",
"telephone_number": "718-946-2600",
"fax_number": "718-946-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHISTER",
"first_name": "ANGELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R043689-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.