Individual provider Active NPI

Irina Voskoboynik, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1457371783
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
069657 Issued in NY
Practice address
202 Foster Ave
Suite a
Brooklyn, NY 11230-2119
Phone
(718) 854-3005
Fax
(718) 854-9803
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 069657 NY Primary

Addresses

Primary practice location

202 Foster Ave
Suite a
Brooklyn, NY 11230-2119

Mailing address

202 Foster Ave
Suite a
Brooklyn, NY 11230-2119
Phone (718) 854-3005

Other identifiers 1

IdentifierTypeStateIssuer
02403285MedicaidNY

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
I20060308000144 NY Practitioner - Clinical Social Worker 9931116589 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1659 78TH St
Suite 14
Brooklyn, NY 11214-1011
Phone (718) 234-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060580NYMDDentist
069657NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
IV Licensed Clinical Social Work P.C. CurrentSince Nov 1, 2016 Accepting new patients
LCSW Evaluations and Clinical Social Work, P.C. Clinical CurrentSince Oct 23, 2012 Accepting new patients
Ohel Children's Home and Family Services, Inc. Past Accepting new patients

Locations

200 Corbin Pl
Apt L1
Brooklyn, NY 11235
Phone (718) 238-2285

Organizations & group practices 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457371783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-854-3005",
            "fax_number": "718-854-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "718-854-3005",
            "fax_number": "718-854-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSKOBOYNIK",
        "first_name": "IRINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02403285",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.