Individual provider Active NPI

Anna Brooks, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1700428430
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107413-01 Issued in NY
Practice address
148 Park PL
Brooklyn, NY 11217-3303
Phone
(718) 398-1962
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107413-01 NY Primary

Addresses

Primary practice location

148 Park PL
Brooklyn, NY 11217-3303

Mailing address

973 Fulton St # 1
Brooklyn, NY 11238-2346
Phone (518) 852-7572

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
I20250124002093 NY Practitioner - Clinical Social Worker 0345779039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107413-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Community Living , Inc. CurrentSince Nov 15, 2024 Accepting new patients
New Pathways Counseling Center Social Worker PastSince Oct 20, 2019 Accepting new patients

Locations

1310 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-3400

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

Organizations & group practices 2

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": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1700428430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 FULTON ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382346",
            "telephone_number": "518-852-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173303",
            "telephone_number": "718-398-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ANNA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107413-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.