NPIMap

Organization Active NPI

Brooklyn Psychotherapy, LCSW, PC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1356746515
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081378 Issued in NY
Legal business name
BROOKLYN PSYCHOTHERAPY, LCSW, PC
Practice address
148 Wilson Ave
Brooklyn, NY 11237-8042
Phone
(347) 474-8464
Fax
(347) 630-0519
NPI assigned
Oct 30, 2014
Last updated
Nov 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Karen G. Costa, LCSWNPI 1467784520
Title
Owner
Phone
(347) 474-8464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081378 NY Primary

Addresses

Primary practice location

148 Wilson Ave
Brooklyn, NY 11237-8042

Mailing address

148 Wilson Ave
Brooklyn, NY 11237-8042
Phone (347) 474-8464

Other names 1

  • Brooklyn Psychotherapy, PC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1356746515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378042",
            "telephone_number": "347-474-8464",
            "fax_number": "347-630-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILSON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112378042",
            "telephone_number": "347-474-8464",
            "fax_number": "347-630-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PSYCHOTHERAPY, LCSW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-474-8464",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooklyn Psychotherapy, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.