Individual provider Active NPI

Barbra Williams Cosentino, LCSW RN

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1265571582
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
30784R Issued in NY
Practice address
111 15 75 Ave
Suite 3D
Forest Hills, NY 11375-6375
Phone
(718) 459-1318
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 30784R NY Primary

Addresses

Primary practice location

111 15 75 Ave
Suite 3D
Forest Hills, NY 11375-6375

Mailing address

111 15 75 Ave
#3D
Forest Hills, NY 11375-6375
Phone (718) 459-1318

Other identifiers 2

IdentifierTypeStateIssuer
147501OtherNYVALUE OPTIONS EMPIRE
5387087OtherNYOXFORD

Other names 1

  • Barbra Wagner Williams Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000725 NY Practitioner - Clinical Social Worker 7113114604 Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Forest Hills, NY 11375
Phone (646) 575-1385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
30784RNYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1265571582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 15 75 AVE",
            "address_2": "#3D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756375",
            "telephone_number": "718-459-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 15 75 AVE",
            "address_2": "SUITE 3D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756375",
            "telephone_number": "718-459-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS COSENTINO",
        "first_name": "BARBRA",
        "name_prefix": "Ms.",
        "credential": "LCSW RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "30784R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS EMPIRE",
            "identifier": "147501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "5387087",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBRA",
            "last_name": "WILLIAMS",
            "middle_name": "WAGNER",
            "credential": "LCSW RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.