Individual provider Active NPI

Lizet Oviedo Acevedo, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1720540750
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098916 Issued in NY
Practice address
295 Flatbush Avenue Extension
Brooklyn, NY 11201-3001
Phone
(347) 396-6299
Fax
(347) 396-6367
NPI assigned
Mar 31, 2019
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 098916 NY Primary

Addresses

Primary practice location

295 Flatbush Avenue Extension
Brooklyn, NY 11201-3001

Mailing address

4209 28TH St # CN-48
Long Island City, NY 11101-4130
Phone (347) 396-6299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098916NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
City of New York Office of Payroll Administration CurrentSince Dec 6, 2024 Accepting new patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration CurrentSince Dec 6, 2024 Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

9037 Parsons Blvd
Jamaica, NY 11432
Phone (718) 262-5521

4209 28th St
#48
Long Island City, NY 11101
Phone (347) 396-6234

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

600 W 168th St
New York, NY 10032
Phone (212) 566-3587

Organizations & group practices 5

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1720540750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH ST # CN-48",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014130",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXTENSION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "347-396-6299",
            "fax_number": "347-396-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVIEDO ACEVEDO",
        "first_name": "LIZET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.