Individual provider Active NPI

Ella Kreydina, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1518404946
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
095630 Issued in NY
Practice address
157 13TH St
Brooklyn, NY 11215-4702
Phone
(917) 740-0061
NPI assigned
Jan 24, 2017
Last updated
Nov 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 095630 NY Primary
Clinical Social Worker 1041C0700X 090417 NY

Addresses

Primary practice location

157 13TH St
Brooklyn, NY 11215-4702

Mailing address

157 13TH St
Brooklyn, NY 11215-4702
Phone (917) 740-0061

Other practice location 1

1841 Park Ave
New York, NY 10035-1316
Phone (646) 459-6091

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
095630NYMDSocial Worker
090417NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ella Kreydina Psychotherapy LCSW Clinical Current Accepting new patients

Locations

157 13th St
Brooklyn, NY 11215
Phone (332) 333-2701

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, 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": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1518404946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154702",
            "telephone_number": "917-740-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154702",
            "telephone_number": "917-740-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100351316",
            "country_code": "US",
            "telephone_number": "646-459-6091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREYDINA",
        "first_name": "ELLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095630",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.