Adriana Khoker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084063 Issued in NY

Practice address

9714 3Rd Ave
Brooklyn, NY 11209-7742

Phone

(917) 426-1618

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Fortune Society Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Long Island City, NY
  • NPI 1235357237

  Clinical

  NPD
• The Fortune Society

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Island City, NY
  • NPI 1952079089
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1518229236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097742",
            "telephone_number": "917-426-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097742",
            "telephone_number": "917-426-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOKER",
        "first_name": "ADRIANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Sprucehealth",
            "affiliation": "N",
            "endpointDescription": "Spruce",
            "address_1": "7405 Metropolitan Ave # 2F",
            "city": "Middle Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113792636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yuliya Khodos
• Yelena Khodosh, DDS
• Zinaida Khodosh, M.D.
• Elina A Khodzhayeva, DPM
• Nellya Khodzhayeva, OTR/L
• Jatinder Bir Khokhar, M.D.
• Majda Khokhar
• Lida Kholasechi
• Berta Kholi, MSED
• Elizaveta Khololeyenko, OTR/L

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.