Individual provider Active NPI

Siu Viera, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1700338753
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083288
Practice address
2048 83Rd St
Brooklyn, NY 11214-2402
Phone
(718) 708-2055
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 083288 Primary

Addresses

Primary practice location

2048 83Rd St
Brooklyn, NY 11214-2402

Mailing address

2048 83Rd St
Brooklyn, NY 11214-2402
Phone (718) 708-2055

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
I20190409001766 NY Practitioner - Clinical Social Worker 0840531463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Counseling Therapeutic Services PLLCGroup PAC ID 3678062122, 2 clinicians

Practice addresses (Care Compare)

169 Commack Rd
Suite 382
Commack, NY 11725-3442
Phone (631) 815-2936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083288NYMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Mar 2, 2019 Accepting new patients
National Neighborhood Counseling Center Inc PastSince Feb 4, 1991 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

Organizations & group practices 4

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1700338753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 83RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142402",
            "telephone_number": "718-708-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 83RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142402",
            "telephone_number": "718-708-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERA",
        "first_name": "SIU",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "083288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.