Active NPI
Sheila Barbara Ebbin, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1255407474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO376561
- Practice address
- 3402 Kings Hwy
Brooklyn, NY 11234-2612 - Phone
- (718) 258-6050
- Fax
- (718) 258-6050
- NPI assigned
- Nov 28, 2006
- 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 | RO376561 | NY | Primary |
Addresses
Primary practice location
3402 Kings Hwy
Brooklyn, NY 11234-2612
Mailing address
3402 Kings Hwy
Brooklyn, NY 11234-2612
Phone (718) 258-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RO-37656-1 | Other | NY | LICENSED CLINICAL SOC.WOR |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO376561 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255407474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342612",
"telephone_number": "718-258-6050",
"fax_number": "718-258-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 KINGS HWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342612",
"telephone_number": "718-258-6050",
"fax_number": "718-258-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBBIN",
"first_name": "SHEILA",
"middle_name": "BARBARA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO376561",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOC.WOR",
"identifier": "RO-37656-1",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.