Individual provider Active NPI

Robert Terruso, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1356413793
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R015990 Issued in NY
Practice address
1045 86TH St
PVT
Brooklyn, NY 11228-3221
Phone
(718) 748-8952
Fax
(212) 815-1252
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R015990 NY Primary

Addresses

Primary practice location

1045 86TH St
PVT
Brooklyn, NY 11228-3221

Mailing address

1045 86TH St
PVT
Brooklyn, NY 11228-3221
Phone (718) 748-8952

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
I20110503000185 NY Practitioner - Clinical Social Worker 4183809304 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1045 86TH St
Brooklyn, NY 11228-3221
Phone (718) 748-8652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R015990NYMDClinical Social Worker
015990NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356413793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 86TH ST",
            "address_2": "PVT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283221",
            "telephone_number": "718-748-8952",
            "fax_number": "212-815-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 86TH ST",
            "address_2": "PVT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283221",
            "telephone_number": "718-748-8952",
            "fax_number": "212-815-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRUSO",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R015990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.