Individual provider Active NPI

Arsen Mastov, LCSW

  • Clinical Social Worker
  • Rego Park, NY
National Provider Identifier
1558664508
Registry record updated Dec 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082007 Issued in NY
Practice address
9777 Queens Blvd PH
Rego Park, NY 11374-3335
Phone
(718) 896-9090
NPI assigned
Dec 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2025

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 082007 NY Primary

Addresses

Primary practice location

9777 Queens Blvd PH
Rego Park, NY 11374-3335

Mailing address

9611 65TH Rd Apt 303
Rego Park, NY 11374-4171
Phone (917) 930-3310

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
I20140805002793 NY Practitioner - Clinical Social Worker 5991922528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Practice addresses (Care Compare)

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 896-9090

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082007NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jun 13, 2014 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Jun 13, 2014 Accepting new patients
Feeling Whole Again Inc. Clinical CurrentSince Jan 4, 2026 Accepting new patients
The Derech Shalom Center Inc Past Accepting new patients

Locations

2020 Coney Island Ave
Fl 1
Brooklyn, NY 11223

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

938 Kings Hwy
Brooklyn, NY 11223
Phone (718) 998-3235

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

9777 Queens Blvd
Ph
Rego Park, NY 11374
Phone (718) 830-9274

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1558664508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 65TH RD APT 303",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744171",
            "telephone_number": "917-930-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD PH",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335",
            "telephone_number": "718-896-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOV",
        "first_name": "ARSEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.