Active NPI
Ahssan Haj-Yehia, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1366520546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R041191-1
- Practice address
- 641 President St Ste 108
Brooklyn, NY 11215-1186 - Phone
- (718) 778-0485
- Fax
- (718) 778-1375
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R041191-1 | NY | Primary |
Addresses
Primary practice location
641 President St Ste 108
Brooklyn, NY 11215-1186
Mailing address
641 President St Ste 108
Brooklyn, NY 11215-1186
Phone (718) 778-0485
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R041191-1 | NY | MD | Clinical Social Worker |
| 041191 | NY | MD | Pharmacist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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.
-
- Case Management Agency
- Brooklyn, NY
- NPI 1588611842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1366520546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 PRESIDENT ST STE 108",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151186",
"telephone_number": "718-778-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 PRESIDENT ST STE 108",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151186",
"telephone_number": "718-778-0485",
"fax_number": "718-778-1375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAJ-YEHIA",
"first_name": "AHSSAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R041191-1",
"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 Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.