Individual provider Active NPI

Drucilla Nesmith-Barker, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1649420035
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080363-1 Issued in NY
Practice address
628 Beverly Road
Brooklyn, NY 11208
Phone
(718) 437-5570
Fax
(718) 437-5572
NPI assigned
Sep 23, 2008
Reactivated
Jul 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 080363-1 NY Primary
Clinical Social Worker 1041C0700X 44SC05546500 NJ

Addresses

Primary practice location

628 Beverly Road
Brooklyn, NY 11208

Mailing address

628 Beverly Road
Brooklyn, NY 11218
Phone (646) 883-6944

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
I20180802000684 NY Practitioner - Clinical Social Worker 9436407707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Intercity Psychotherapy Services LCSW, P.C.Group PAC ID 7911306923, 5 clinicians

Practice addresses (Care Compare)

1250 Central Park Ave
Yonkers, NY 10704-1044
Phone (718) 704-0898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05546500NJMDClinical Social Worker
080363-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercity Psychotherapy Services LCSW, P.C. Clinical CurrentSince Apr 1, 2021 Accepting new patients
Visiting Nurse Service of New York Hospice Care PastSince Jul 9, 2018 Accepting new patients

Locations

7906 4th Ave
Brooklyn, NY 11209
Phone (718) 704-0898

7906 4th Ave
Ofc
Brooklyn, NY 11209

6806 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 366-0775

1250 Central Park Ave
Yonkers, NY 10704
Phone (718) 704-0898

Organizations & group practices 2

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1649420035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 BEVERLY ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "646-883-6944",
            "fax_number": "718-437-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 BEVERLY ROAD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11208",
            "telephone_number": "718-437-5570",
            "fax_number": "718-437-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESMITH-BARKER",
        "first_name": "DRUCILLA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2016-08-16",
        "deactivation_date": "2014-08-20",
        "reactivation_date": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080363-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05546500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.