Active NPI
N'Keya Nubia Peters-Camille, LCSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1598150773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092331-1
- Practice address
- 921 E New York Ave
Brooklyn, NY 11203-1393 - Phone
- (718) 778-0485
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 087465 | ||
| Social Worker | 104100000X | 092331-1 | NY | Primary |
Addresses
Primary practice location
921 E New York Ave
Brooklyn, NY 11203-1393
Mailing address
921 E New York Ave
Brooklyn, NY 11203-1393
Phone (718) 778-0485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087465 | Other | NY | LCSW |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Npeterscamille@interborough.org | Interborough Developmental and Consultation Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092331-1 | NY | MD | Social Worker |
Interoperability endpoints
- npeterscamille@interborough.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1598150773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 E NEW YORK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031393",
"telephone_number": "718-778-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 E NEW YORK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031393",
"telephone_number": "718-778-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS-CAMILLE",
"first_name": "N'KEYA",
"middle_name": "NUBIA",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2023-11-27",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "087465",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092331-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "087465",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Npeterscamille@interborough.org",
"affiliation": "Y",
"affiliationName": "Interborough Developmental and Consultation Center",
"address_1": "921 E New York Ave",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112031393",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.