Individual provider Active NPI

Rostislav Tsirulnik, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1295473197
Registry record updated May 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06758400 Issued in NJ
Practice address
2846 Stillwell Ave
Brooklyn, NY 11224-2624
Phone
(718) 975-4888
NPI assigned
May 22, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06758400 NJ
Clinical Social Worker 1041C0700X 44SL06758400 NJ Primary

Addresses

Primary practice location

2846 Stillwell Ave
Brooklyn, NY 11224-2624

Mailing address

700 1St St Apt 6M
Hoboken, NJ 07030-8811
Phone (646) 552-4235

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

LicenseStateTypeSpecialty
44SL06758400NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653177600000",
    "number": "1295473197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 1ST ST APT 6M",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070308811",
            "telephone_number": "646-552-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 STILLWELL AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242624",
            "telephone_number": "718-975-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSIRULNIK",
        "first_name": "ROSTISLAV",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-22",
        "last_updated": "2022-05-22",
        "certification_date": "2022-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06758400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06758400",
            "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 May 22, 2022; 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.