Individual provider Active NPI

Azul Nayeli Salazar, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1336749340
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097251 Issued in NY
Practice address
40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903
Phone
(678) 693-0136
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097251 NY Primary

Addresses

Primary practice location

40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903

Mailing address

40 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-2903
Phone (678) 693-0136

Other names 1

  • Kevin Ruiz 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
I20251211001647 NY Practitioner - Clinical Social Worker 6204245152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

356 W 18TH St
New York, NY 10011-4401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Project Inc. CurrentSince Oct 5, 2025 Accepting new patients
Community Health Project Inc. Current Accepting new patients
Community Health Project Inc. CurrentSince Oct 5, 2025 Accepting new patients
Community Health Project Inc. Past Accepting new patients

Locations

40 Flatbush Avenue Ext
Fl 3
Brooklyn, NY 11201
Phone (212) 271-7191

40 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (718) 215-1818

356 W 18th St
New York, NY 10011

356 W 18th St
Fl 6
New York, NY 10011
Phone (212) 271-7167

Interoperability endpoints

  • Direct secure messaging: kruiz584437@direct.ochin.org

Organizations & group practices 4

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1336749340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "678-693-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "678-693-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "AZUL",
        "middle_name": "NAYELI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "RUIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.