Active NPI
Spanish Speaking Elderly Council-Raices,Inc.
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1306863535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 194308
- Legal business name
- SPANISH SPEAKING ELDERLY COUNCIL-RAICES,INC.
- Practice address
- 460 Atlantic Ave FL 1
Brooklyn, NY 11217-1704 - Phone
- (718) 222-1518
- Fax
- (718) 222-4376
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lisette Sosa-Dickson, LCSW
- Title
- Executive Director
- Phone
- (718) 643-0232
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 9137110A | NY | |
| Clinical Social Worker | 1041C0700X | 074820 | NY | |
| Psychiatry Physician | 2084P0800X | 194308 | NY | Primary |
Addresses
Primary practice location
460 Atlantic Ave FL 1
Brooklyn, NY 11217-1704
Mailing address
460 Atlantic Ave FL 1
Brooklyn, NY 11217-1704
Phone (718) 222-1518
National Provider Directory
National Provider DirectoryLocations
10 Hanover Pl
Brooklyn, NY 11201
Phone (718) 222-1518
460 Atlantic Ave
#1
Brooklyn, NY 11217
Phone (718) 222-1518
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1740201094
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1134175722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473120000000",
"number": "1306863535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 ATLANTIC AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171704",
"telephone_number": "718-222-1518",
"fax_number": "718-222-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 ATLANTIC AVE FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112171704",
"telephone_number": "718-222-1518",
"fax_number": "718-222-4376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPANISH SPEAKING ELDERLY COUNCIL-RAICES,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2016-09-06",
"status": "A",
"authorized_official_last_name": "SOSA-DICKSON",
"authorized_official_first_name": "LISETTE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "718-643-0232",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "9137110A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "074820",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "194308",
"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 Sep 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.