Individual provider Active NPI

Ekaterina Lubrano, LMSW

  • Social Worker
  • Jamaica, NY
National Provider Identifier
1306271267
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
094793 Issued in NY
Practice address
16318 Jamaica Ave Ste 2
Jamaica, NY 11432-4901
Phone
(718) 659-4000
Fax
(718) 659-1405
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 094793 NY Primary

Addresses

Primary practice location

16318 Jamaica Ave Ste 2
Jamaica, NY 11432-4901

Mailing address

16318 Jamaica Ave Ste 2
Jamaica, NY 11432-4901
Phone (718) 659-4000

Other names 1

  • Ekaterina Protas 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
I20220125001748 NY Practitioner - Clinical Social Worker 1759773732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2056 E 61St St
FL 1
Brooklyn, NY 11234-5908
Phone (929) 545-0653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Sky Psychotherapy LCSW PC CurrentSince Dec 3, 2021 Accepting new patients
The Child Center of Ny, Inc. PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1306271267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE STE 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324901",
            "telephone_number": "718-659-4000",
            "fax_number": "718-659-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 JAMAICA AVE STE 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324901",
            "telephone_number": "718-659-4000",
            "fax_number": "718-659-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBRANO",
        "first_name": "EKATERINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "094793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKATERINA",
            "last_name": "PROTAS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.