Individual provider Active NPI

Gabriela Rachel Sposito, LMSW

  • Clinical Social Worker
  • Jackson Heights, NY
National Provider Identifier
1518450667
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
103996 Issued in NY
Practice address
9114 37TH Ave
Jackson Heights, NY 11372
Phone
(718) 779-1600
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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 103996 NY Primary

Addresses

Primary practice location

9114 37TH Ave
Jackson Heights, NY 11372

Mailing address

1633 Sterling PL Apt 2I
Brooklyn, NY 11233-4924
Phone (405) 919-3673

Other identifiers 1

IdentifierTypeStateIssuer
38642718MedicaidTX

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
I20230222001997 NY Practitioner - Clinical Social Worker 4284007220 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103996NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Nov 16, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 2, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Nov 16, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 4

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1518450667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 STERLING PL APT 2I",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112334924",
            "telephone_number": "405-919-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-779-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOSITO",
        "first_name": "GABRIELA",
        "middle_name": "RACHEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38642718",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.