Active NPI
Sasha Carolina Ega, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1669909073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1800395
- Practice address
- 55 W 39TH St RM 705
New York, NY 10018-3874 - Phone
- (315) 816-4777
- NPI assigned
- May 16, 2017
- Reactivated
- Jul 31, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1800395 | NY | Primary |
Addresses
Primary practice location
55 W 39TH St RM 705
New York, NY 10018-3874
Mailing address
9131 Queens Blvd Ste 601
Elmhurst, NY 11373-5543
Other practice location 1
9131 Queens Blvd
Elmhurst, NY 11373-5555
Phone (718) 454-2222
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.nyctbi.com |
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 |
|---|---|---|---|
| 1800395 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intuitive Psychotherapy Evaluations LCSW PLLC | Clinical | Current | Accepting new patients |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Past | Accepting new patients |
Organizations & group practices 3
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
- New York, NY
- NPI 1659150035
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1669909073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9131 QUEENS BLVD STE 601",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113735543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 W 39TH ST RM 705",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100183874",
"telephone_number": "315-816-4777"
}
],
"practiceLocations": [
{
"address_1": "9131 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113735555",
"country_code": "US",
"telephone_number": "718-454-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGA",
"first_name": "SASHA",
"middle_name": "CAROLINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"deactivation_date": "2018-06-15",
"reactivation_date": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "1800395",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.nyctbi.com",
"affiliation": "N",
"address_1": "9131 Queens Blvd",
"city": "Elmhurst",
"state": "NY",
"country_code": "US",
"postal_code": "113735555",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.