Organization Active NPI

New Patterns Therapy LCSW P.C.

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1346858313
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NEW PATTERNS THERAPY LCSW P.C.
Practice address
2784 E 12TH St RM 4a
Brooklyn, NY 11235-4604
Phone
(917) 655-6535
NPI assigned
Jul 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Yana Godmach, LCSWNPI 1104274646
Title
Provider
Phone
(917) 655-6535

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2784 E 12TH St RM 4a
Brooklyn, NY 11235-4604

Mailing address

2784 E 12TH St RM 4a
Brooklyn, NY 11235-4604
Phone (917) 655-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209001077 NY Part B Supplier - Clinic/Group Practice 1153733589 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

355 Lenox Ave
New York, NY 10027
Phone (917) 655-6535

51 E 125th St
Ste 3B
New York, NY 10035
Phone (917) 655-6535

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1346858313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 E 12TH ST RM 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354604",
            "telephone_number": "917-655-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 E 12TH ST RM 4A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354604",
            "telephone_number": "917-655-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PATTERNS THERAPY LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GODMACH",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "917-655-6535",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.