Organization Active NPI

Brooklyn Womens & Family Counseling Services LCSW PLLC

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1700837580
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BROOKLYN WOMENS & FAMILY COUNSELING SERVICES LCSW PLLC
Practice address
7706 13TH Ave
Brooklyn, NY 11228-2414
Phone
(718) 232-8600
Fax
(718) 228-9314
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Nicoletta Pallotta, LCSWNPI 1841270378
Title
Ceo
Phone
(718) 232-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

7706 13TH Ave
Brooklyn, NY 11228-2414

Mailing address

7706 13TH Ave Ste 2
Brooklyn, NY 11228-2414
Phone (718) 232-8600

Other practice location 1

111 Town Square Pl, Ste 1201
PMB 1003
Jersey City, NJ 07310
Phone (718) 232-8600

Other identifiers 1

IdentifierTypeStateIssuer
0530300MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000544 NY Part B Supplier - Clinic/Group Practice 5496645921 Receives reassigned benefits from 26 practitioners
Practice locations: Brooklyn, NY
O20240708002078 NJ Part B Supplier - Clinic/Group Practice 5496645921 Receives reassigned benefits from 2 practitioners
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

7706 13th Ave
Ste 2
Brooklyn, NY 11228
Phone (718) 313-4357

9201 4th Ave
Ste 2
Brooklyn, NY 11209
Phone (718) 238-6444

Practitioners & affiliated clinicians

Practitioners 77

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 77

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1700837580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 13TH AVE STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282414",
            "telephone_number": "718-232-8600",
            "fax_number": "718-228-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7706 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282414",
            "telephone_number": "718-232-8600",
            "fax_number": "718-228-9314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Town Square Pl, Ste 1201",
            "address_2": "PMB 1003",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "07310",
            "country_code": "US",
            "telephone_number": "718-232-8600",
            "fax_number": "718-228-9314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKLYN WOMENS & FAMILY COUNSELING SERVICES LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "PALLOTTA",
        "authorized_official_first_name": "NICOLETTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-232-8600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0530300",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.