Marita Lee Alfonso, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083509 Issued in NY

Practice address

66 Boerum PL
Brooklyn, NY 11201-5705

Phone

(718) 522-6011

Fax

(718) 522-1560

NPI assigned

Apr 1, 2012

Reactivated

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1265708440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WALL ST APT 37K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100053171",
            "telephone_number": "917-202-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 BOERUM PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015705",
            "telephone_number": "718-522-6011",
            "fax_number": "718-522-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFONSO",
        "first_name": "MARITA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2024-05-21",
        "certification_date": "2021-10-27",
        "deactivation_date": "2021-10-27",
        "reactivation_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Alfieri, M.A., CF-SLP
• Sophie Alexandra Alfieri, RD
• Amira A.M Alfil, MD,MPH
• Antonio E Alfonso, M.D.
• Hernando Alfonso, OD
• Yvette Alfonso, RN
• Alford a Smith MD PC (Flatbush Family Practice)
• Alfred a Pecora, DC, PC
• Alfred J Sanginario (Third Avenue Foot Care)
• Alfred Shtainer MD PC

• 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 May 21, 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.

Verify at the official NPI Registry.