Active NPI
Drucilla Nesmith-Barker, LCSW
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080363-1
- 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
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 | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05546500 | NJ | MD | Clinical Social Worker |
| 080363-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercity Psychotherapy Services LCSW, P.C. | Clinical | Current | Accepting new patients |
| Visiting Nurse Service of New York Hospice Care | Past | 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.
-
- Clinical Social Worker
- Brooklyn, NY
- NPI 1437733961
-
- Community Based Hospice Care Agency
- New York, NY
- NPI 1215928510
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.