Individual provider Active NPI

Boris Shapiro, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1508917238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PO 65308 - 1 Issued in NY
Practice address
971 Jerome St
Brooklyn, NY 11207-9252
Phone
(718) 272-3300
NPI assigned
Jan 16, 2007
Sex
Male
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 PO 65308 - 1 NY Primary

Addresses

Primary practice location

971 Jerome St
Brooklyn, NY 11207-9252

Mailing address

6932 174TH St
Fresh Meadows, NY 11365-3411

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
I20140402000324 NY Practitioner - Clinical Social Worker 8527299718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

7 Corbin PL
Unit C1
Brooklyn, NY 11235-4801
Phone (718) 331-3800

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
86.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 65308 - 1NYMDClinical Social Worker
035308NYMDPharmacist

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508917238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 174TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 JEROME ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079252",
            "telephone_number": "718-272-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "BORIS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO 65308 - 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.