Individual provider Active NPI

Rebecca Susan Herman, LCSW, CASAC-MC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1659681229
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088777 Issued in NY
Practice address
2037 Utica Ave
Brooklyn, NY 11234-3234
Phone
(718) 377-5755
NPI assigned
Oct 18, 2010
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23906 NY
Clinical Social Worker 1041C0700X 088777 NY Primary

Addresses

Primary practice location

2037 Utica Ave
Brooklyn, NY 11234-3234

Mailing address

2037 Utica Ave
Brooklyn, NY 11234-3234
Phone (718) 377-5755

Other identifiers 1

IdentifierTypeStateIssuer
1609805993MedicaidNY

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
I20230630002672 NY Practitioner - Clinical Social Worker 2365801891 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23906NYMDAddiction (Substance Use Disorder) Counselor
088777NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Apicha Community Health Center CurrentSince Dec 9, 2024 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince May 15, 2023 Accepting new patients
Apicha Community Health Center Clinical CurrentSince Dec 9, 2024 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients
Catholic Charities Neigborhood Services PastSince Nov 10, 2019 Accepting new patients
Catholic Charities Neighborhood Services, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

191 Joralemon St
Fl 6
Brooklyn, NY 11201

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Fl 11
Brooklyn, NY 11201

2037 Utica Ave
Brooklyn, NY 11234
Phone (718) 377-5755

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

400 Broadway
Fl 4
New York, NY 10013
Phone (212) 334-6029

400 Broadway
New York, NY 10013
Phone (212) 334-6029

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBGAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1659681229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343234",
            "telephone_number": "718-377-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 UTICA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343234",
            "telephone_number": "718-377-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "REBECCA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC-MC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23906",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609805993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.