Mickey Correa, LCSW, M.DIV.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081048 Issued in NY

Practice address

65 Bush St
Apt. 1a
Brooklyn, NY 11231-1762

Phone

(718) 483-5829

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Lesbian and Gay Community Services Center, IncGroup PAC ID 9830614411, 2 clinicians

Practice addresses (Care Compare)

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.

• Lesbian and Gay Community Services Center, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1821801929
  Medicare reassignment Care Compare group NPD
• Lesbian and Gay Community Services Center, Inc.

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1669668224
  NPD

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1578801684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BUSH ST",
            "address_2": "APT. 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112311762",
            "telephone_number": "718-483-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BUSH ST",
            "address_2": "APT. 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112311762",
            "telephone_number": "718-483-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "MICKEY",
        "credential": "LCSW, M.DIV.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "082796",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayumi Correa Lancelot Faria
• Claudia Correa
• Juan C Correa, MD
• Lynda R Correa
• Maria Correa
• Reinaldo Correa, OT
• Carmine Correale, LCSW
• Caroline E Corredor
• Linnet Correia, MSPT
• Alexandra Elizabeth Corriea

• 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 Aug 28, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.