Individual provider Active NPI

Erica Frances Zajac, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1619229507
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087044 Issued in NY
Practice address
347 Grand St
Brooklyn, NY 11211
Phone
(929) 309-1107
NPI assigned
Oct 3, 2012
Last updated
Jun 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C007998 NC
Clinical Social Worker 1041C0700X 087044 NY Primary

Addresses

Primary practice location

347 Grand St
Brooklyn, NY 11211

Mailing address

347 Grand St
Brooklyn, NY 11211-4495
Phone (929) 309-1107

Other practice location 1

2515 E Nc Highway 54 Bldg 2200
Durham, NC 27713-5251
Phone (919) 493-0959

Other identifiers 1

IdentifierTypeStateIssuer
087044OtherNYLCSW NUMBER FOR NY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007998NCMDMental Health Counselor
087044NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nyc Psychiatrist Services P.C. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1619229507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112114495",
            "telephone_number": "929-309-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "929-309-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 E Nc Highway 54 Bldg 2200",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277135251",
            "country_code": "US",
            "telephone_number": "919-493-0959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAJAC",
        "first_name": "ERICA",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-03",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C007998",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW NUMBER FOR NY",
            "identifier": "087044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.