Individual provider Active NPI

Ari J Perl, LCSW

  • Clinical Social Worker
  • Flushing, NY
National Provider Identifier
1487922282
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084228 Issued in NY
Practice address
14118 70TH Ave
Flushing, NY 11367-1928
Phone
(917) 238-4455
NPI assigned
Dec 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 085070-1 NY
Clinical Social Worker 1041C0700X 084228 NY Primary

Addresses

Primary practice location

14118 70TH Ave
Flushing, NY 11367-1928

Mailing address

14118 70TH Ave
Flushing, NY 11367-1928
Phone (917) 238-4455

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
I20240215001921 NY Practitioner - Clinical Social Worker 2860836053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SBH Community Service Network IncGroup PAC ID 4082713839, 17 clinicians

Practice addresses (Care Compare)

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085070-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Assistance Resources & Extended Services Inc CurrentSince Apr 9, 2024 Accepting new patients
SBH Community Service Network, Inc. CurrentSince Nov 13, 2023 Accepting new patients

Locations

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

425 Kings Hwy
Brooklyn, NY 11223

465 Grand St
New York, NY 10002
Phone (212) 420-1970

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1487922282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14118 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671928",
            "telephone_number": "917-238-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14118 70TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113671928",
            "telephone_number": "917-238-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERL",
        "first_name": "ARI",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-07",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085070-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.