Individual provider Active NPI

Amy Elisabeth Desautels, MA, MPHIL, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1730469859
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083143-1 Issued in NY
Practice address
25 Chapel St
#1204
Brooklyn, NY 11201-1952
Phone
(718) 596-8960
NPI assigned
Aug 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 083143-1 NY Primary

Addresses

Primary practice location

25 Chapel St
#1204
Brooklyn, NY 11201-1952

Mailing address

25 Chapel St
#1204
Brooklyn, NY 11201-1952
Phone (718) 596-8960

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
083143-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Bureau of Community Service CurrentSince Jan 28, 2015 Accepting new patients
Brooklyn Bureau of Community Services Past Accepting new patients

Locations

25 Chapel St
Ste 1204
Brooklyn, NY 11201
Phone (718) 596-8960

Interoperability endpoints

  • Direct secure messaging: adesautels@bbcs.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1730469859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "#1204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-596-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST",
            "address_2": "#1204",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011952",
            "telephone_number": "718-596-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAUTELS",
        "first_name": "AMY",
        "middle_name": "ELISABETH",
        "name_prefix": "Ms.",
        "credential": "MA, MPHIL, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-20",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083143-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.