Active NPI
Irina Vasilchenko, LCSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1649677790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092240
- Practice address
- 3131 Kings Hwy
Suite C5
Brooklyn, NY 11234-2644 - Phone
- (212) 844-1694
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 092240 | NY | Primary |
Addresses
Primary practice location
3131 Kings Hwy
Suite C5
Brooklyn, NY 11234-2644
Mailing address
225 E 86TH St
Apt 803
New York, NY 10028-3019
Phone (646) 707-8005
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092240 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1649677790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E 86TH ST",
"address_2": "APT 803",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100283019",
"telephone_number": "646-707-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 KINGS HWY",
"address_2": "SUITE C5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112342644",
"telephone_number": "212-844-1694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASILCHENKO",
"first_name": "IRINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-04",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092240",
"primary": true
}
],
"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 Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.