Individual provider Active NPI

Nancy Dakota Adlman, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1366677650
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00860700 Issued in NJ
Practice address
70 Washington St Apt 3C
Brooklyn, NY 11201
Phone
(914) 543-1011
NPI assigned
May 15, 2009
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 44SC00860700 NJ Primary

Addresses

Primary practice location

70 Washington St Apt 3C
Brooklyn, NY 11201

Mailing address

70 Washington St Apt 3C
Brooklyn, NY 11201-1443
Phone (914) 543-1011

Other practice location 1

21 Trinity Pl
#202
Montclair, NJ 07042-2703
Phone (973) 460-9856

Other practice location 2

1082 Victory Blvd
Staten Island, NY 10301-3622
Phone (917) 543-1011

Other practice location 3

70 Washington St Apt 3C
Brooklyn, NY 11201
Phone (914) 543-1011

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
I20240416001320 NY Practitioner - Clinical Social Worker 5294097689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Canino LCSW Psychotherapy, PCGroup PAC ID 2961589577, 15 clinicians

Practice addresses (Care Compare)

70 Washington St
Apt 3C
Brooklyn, NY 11201-1443
Phone (718) 983-8872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00860700NJMDClinical Social Worker
027525NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Canino LCSW Psychotherapy PC CurrentSince Mar 27, 2024 Accepting new patients

Locations

68 Jay St
Ste 620
Brooklyn, NY 11201
Phone (646) 362-9382

1082 Victory Blvd
Staten Island, NY 10301
Phone (718) 815-3500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1366677650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WASHINGTON ST APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011443",
            "telephone_number": "914-543-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WASHINGTON ST APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "914-543-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Trinity Pl",
            "address_2": "#202",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070422703",
            "country_code": "US",
            "telephone_number": "973-460-9856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1082 Victory Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103013622",
            "country_code": "US",
            "telephone_number": "917-543-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Washington St Apt 3C",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11201",
            "country_code": "US",
            "telephone_number": "914-543-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADLMAN",
        "first_name": "NANCY",
        "middle_name": "DAKOTA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00860700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.