Individual provider Active NPI

Eva Spears-Smith

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1679010698
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081697 Issued in NY
Practice address
588 Macdonough St
Brooklyn, NY 11233-1512
Phone
(917) 734-7587
NPI assigned
Jan 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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 081697 NY Primary

Addresses

Primary practice location

588 Macdonough St
Brooklyn, NY 11233-1512

Mailing address

588 Macdonough St
Brooklyn, NY 11233-1512
Phone (917) 734-7587

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
I20180320002002 NY Practitioner - Clinical Social Worker 3274895818 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

310 Clarkson Ave
Apt 514
Brooklyn, NY 11226-4380
Phone (718) 469-0612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081697NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485561600000",
    "number": "1679010698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 MACDONOUGH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331512",
            "telephone_number": "917-734-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 MACDONOUGH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331512",
            "telephone_number": "917-734-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS-SMITH",
        "first_name": "EVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.