Individual provider Active NPI

Miriam Weinberg, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1639230402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
066388-1 Issued in NY
Practice address
1551A E 17TH St
Brooklyn, NY 11230-6709
Phone
(718) 339-4459
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 066388-1 NY Primary

Addresses

Primary practice location

1551A E 17TH St
Brooklyn, NY 11230-6709

Mailing address

1551A E 17TH St
Brooklyn, NY 11230-6709
Phone (718) 339-4459

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
I20230605001569 NY Practitioner - Clinical Social Worker 1456718519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentinel Services Group IncGroup PAC ID 6901290717, 10 clinicians

Practice addresses (Care Compare)

232 N Main St
Spring Valley, NY 10977-4020
Phone (845) 286-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
066388-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sentinel Services Group Inc CurrentSince Feb 24, 2023 Accepting new patients

Locations

232 N Main St
Spring Valley, NY 10977
Phone (845) 286-2210

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639230402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551A E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306709",
            "telephone_number": "718-339-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551A E 17TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306709",
            "telephone_number": "718-339-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "066388-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.