Individual provider Active NPI

Sasha Carolina Ega, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1669909073
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1800395 Issued in NY
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

Updated by the provider on May 20, 2024

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1800395NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Dec 6, 2010 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.

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.

Verify at the official NPI Registry.