Individual provider Active NPI

Rita M Landberg, MSS

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1588760292
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R002063-1 Issued in NY
Practice address
318 Rugby Rd
Brooklyn, NY 11226-4552
Phone
(718) 693-9852
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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 R002063-1 NY Primary

Addresses

Primary practice location

318 Rugby Rd
Brooklyn, NY 11226-4552

Mailing address

318 Rugby Rd
Brooklyn, NY 11226-4552
Phone (718) 693-9852

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
I20110309000433 NY Practitioner - Clinical Social Worker 8921280116 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 Rugby Rd
Brooklyn, NY 11226-4552
Phone (718) 693-9852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R002063-1NYMDClinical Social Worker
002063NYMDMarriage & Family Therapist

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1588760292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264552",
            "telephone_number": "718-693-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 RUGBY RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112264552",
            "telephone_number": "718-693-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDBERG",
        "first_name": "RITA",
        "middle_name": "M",
        "credential": "MSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R002063-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.