Individual provider Active NPI

Syreeta Love

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1396195822
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773
Phone
(718) 819-6144
NPI assigned
Jun 15, 2016
Last updated
Apr 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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 NU Primary

Addresses

Primary practice location

3611 14TH Ave Ste 550
Brooklyn, NY 11218-3773

Mailing address

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone (718) 375-1200

Other practice location 1

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone (718) 375-1200 ext. 115

Other practice location 2

391 E 149th St Ste 403
Bronx, NY 10455-3907
Phone (718) 819-6144

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
I20240605003546 NY Practitioner - Clinical Social Worker 5496297400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Touro Un Col of Osteopathic Medicine, New York, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwich House IncGroup PAC ID 0345137170, 9 clinicians

Practice addresses (Care Compare)

122 W 27TH St
FL 6
New York, NY 10001-6291
Phone (212) 991-0003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093390NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gamss Health Urgent Medicine PC CurrentSince Apr 12, 2026 Accepting new patients
Greenwich House Inc CurrentSince Apr 24, 2024 Accepting new patients

Locations

391 E 149th St
Ste 403
Bronx, NY 10455
Phone (718) 819-6144

3611 14th Ave
Ste 550
Brooklyn, NY 11218
Phone (718) 819-6144

122 W 27th St
Fl 6
New York, NY 10001
Phone (212) 691-2900

27 Barrow St
New York, NY 10014
Phone (212) 242-4140

Organizations & group practices 2

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1396195822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291209",
            "telephone_number": "718-375-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 14TH AVE STE 550",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183773",
            "telephone_number": "718-819-6144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112291209",
            "country_code": "US",
            "telephone_number": "718-375-1200 x115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 E 149th St Ste 403",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104553907",
            "country_code": "US",
            "telephone_number": "718-819-6144",
            "fax_number": "718-819-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "SYREETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.