Organization Active NPI

Visiting Counseling Services LCSW, PLLC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1366071391
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VISITING COUNSELING SERVICES LCSW, PLLC
Practice address
3911 Avenue P
Brooklyn, NY 11234-3501
Phone
(718) 377-5003
Fax
(718) 377-5004
NPI assigned
Apr 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Ethan Leichter, LCSWNPI 1174702815
Title
Managing Member
Phone
(718) 377-5003

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3911 Avenue P
Brooklyn, NY 11234-3501

Mailing address

3911 Avenue P
Brooklyn, NY 11234-3501
Phone (718) 377-5003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130002832 NY Part B Supplier - Clinic/Group Practice 7416368212 Receives reassigned benefits from 6 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

3846 Flatlands Ave
#2
Brooklyn, NY 11234
Phone (917) 754-6634

Practitioners & affiliated clinicians

Practitioners 6

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": "1585785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1366071391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343501",
            "telephone_number": "718-377-5003",
            "fax_number": "718-377-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343501",
            "telephone_number": "718-377-5003",
            "fax_number": "718-377-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING COUNSELING SERVICES LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-02",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "LEICHTER",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "718-377-5003",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE 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 Jun 21, 2023; 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.