Individual provider Active NPI

Joan Degregorio, LCSW, ACSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1659566099
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R034551 Issued in NY
Practice address
601 - 79 Street
Ste. 1G
Brooklyn, NY 11209-3755
Phone
(718) 680-5468
Fax
(212) 317-1108
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 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 R034551 NY Primary

Addresses

Primary practice location

601 - 79 Street
Ste. 1G
Brooklyn, NY 11209-3755

Mailing address

60 Sutton PL S
Apt. 3FS
New York, NY 10022-4168
Phone (212) 317-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R034551NYMDClinical Social Worker
034551NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1659566099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUTTON PL S",
            "address_2": "APT. 3FS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224168",
            "telephone_number": "212-317-1103",
            "fax_number": "212-317-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 - 79 STREET",
            "address_2": "STE. 1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093755",
            "telephone_number": "718-680-5468",
            "fax_number": "212-317-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGREGORIO",
        "first_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.