Individual provider Active NPI

Gui Xiang Loo, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1396274536
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081874 Issued in NY
Practice address
2652 Cropsey Ave Apt 14G
Brooklyn, NY 11214-6732
Phone
(917) 399-9420
NPI assigned
Jun 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 081874 NY Primary

Addresses

Primary practice location

2652 Cropsey Ave Apt 14G
Brooklyn, NY 11214-6732

Mailing address

2652 Cropsey Ave Apt 14G
Brooklyn, NY 11214-6732
Phone (917) 399-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 26, 2020 through Aug 26, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081874NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gui Xiang Loo LCSW, PLLC CurrentSince Oct 1, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1497052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1396274536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 CROPSEY AVE APT 14G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146732",
            "telephone_number": "917-399-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 CROPSEY AVE APT 14G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146732",
            "telephone_number": "917-399-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "GUI XIANG",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-10",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.