Active NPI
Brian William Ackerman, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1235703992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 098542
- Practice address
- 111 N 12TH St Ste 706
Brooklyn, NY 11249-1022 - Phone
- (914) 313-8612
- NPI assigned
- May 18, 2021
- Last updated
- Nov 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 112899 | NY | |
| Clinical Social Worker | 1041C0700X | 084710 | NY | |
| Clinical Social Worker | 1041C0700X | 098542 | NY | Primary |
Addresses
Primary practice location
111 N 12TH St Ste 706
Brooklyn, NY 11249-1022
Mailing address
111 N 12TH St Ste 706
Brooklyn, NY 11249-1022
Phone (914) 313-8612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084710 | NY | MD | Clinical Social Worker |
| 098542 | NY | MD | Clinical Social Worker |
| 112899 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian Ackerman, LCSW | Clinical | Current | Accepting new patients |
Locations
111 N 12th St
Ste 706
Brooklyn, NY 11249
Phone (914) 313-8612
303 5th Ave
Rm 1308
New York, NY 10016
Phone (216) 409-3367
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1235703992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N 12TH ST STE 706",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112491022",
"telephone_number": "914-313-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N 12TH ST STE 706",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112491022",
"telephone_number": "914-313-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "BRIAN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-18",
"last_updated": "2024-11-08",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "112899",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084710",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "098542",
"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 Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.