Individual provider Active NPI

Akiva Stolper, LCSW, BCCC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1730459371
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084842 Issued in NY
Practice address
924 E 24TH St
Brooklyn, NY 11210-3612
Phone
(917) 626-3957
NPI assigned
Jan 11, 2012
Last updated
Nov 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087327 NY
Clinical Social Worker 1041C0700X 084842 NY Primary

Addresses

Primary practice location

924 E 24TH St
Brooklyn, NY 11210-3612

Mailing address

924 E 24TH St
Brooklyn, NY 11210-3612
Phone (917) 626-3957

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
I20161128000306 NY Practitioner - Clinical Social Worker 1759660277 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmony Services, Inc.Group PAC ID 0345377479, 8 clinicians

Practice addresses (Care Compare)

3820 14TH Ave
Brooklyn, NY 11218-3610
Phone (718) 435-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
087327NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Services, Inc. CurrentSince Aug 16, 2017 Accepting new patients

Locations

3820 14th Ave
Brooklyn, NY 11218
Phone (718) 435-8080

Organizations & group practices 1

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1730459371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103612",
            "telephone_number": "917-626-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103612",
            "telephone_number": "917-626-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLPER",
        "first_name": "AKIVA",
        "credential": "LCSW, BCCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087327",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.