Yasser M Aly, LCSWR, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069564 Issued in NY

Practice address

628 Beverley Rd
Brooklyn, NY 11218-3202

Phone

(718) 437-5570

NPI assigned

Jan 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brooklyn Psychotherapy LCSW Services PC

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1134788540
  Medicare reassignment NPD Authorized official
• Advanced Psychotherapy and Behavioral Health Services LCSW PC

  • Clinical Social Worker
  • Jamaica, NY
  • NPI 1316271554
  Medicare reassignment Authorized official
• Benitez Medical Professional PC

  • Geriatric Psychiatry Physician
  • Brooklyn, NY
  • NPI 1922638444
  NPD (past)

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265585293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183202",
            "telephone_number": "718-437-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 BEVERLEY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183202",
            "telephone_number": "718-437-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Dahlgren Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112283693",
            "country_code": "US",
            "telephone_number": "718-745-4288",
            "fax_number": "718-745-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALY",
        "first_name": "YASSER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCSWR, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12060",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03105171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chinmay Mahesh Alwe, PT
• Aly Eyecare Center Inc.
• Aly Optical Inc
• Eman H Aly, PHYSICAL THERAPIST
• Mohamed A Aly, RPT
• Nancy Alywahby, NP
• Lauren Carolina Alzate
• Alzoobaee Medical PC
• Alzoobaee Pediatrics PC
• Faiz O Alzoobaee, M.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.