Individual provider Active NPI

Lisette Sosa-Dickson, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1740201094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074820 Issued in NY
Practice address
10 Hanover PL PH
Brooklyn, NY 11201-5840
Phone
(718) 222-1518
Fax
(718) 222-4376
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 074820 NY Primary

Addresses

Primary practice location

10 Hanover PL PH
Brooklyn, NY 11201-5840

Mailing address

30 Columbia PL Apt 19a
Brooklyn, NY 11201-4596
Phone (718) 222-1518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spanish Speaking Elderly Council-Raices,Inc. Clinical CurrentSince Apr 14, 2006 Accepting new patients
Spanish Speaking Elderly Council- Raices Clinical Past Accepting new patients
Spanish Speaking Ederly Council-Raices Clinical Past Accepting new patients

Locations

460 Atlantic Ave
#1
Brooklyn, NY 11217
Phone (718) 222-1518

10 Hanover Pl
Ph
Brooklyn, NY 11201
Phone (718) 222-1515

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740201094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COLUMBIA PL APT 19A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014596",
            "telephone_number": "718-222-1518",
            "fax_number": "718-222-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HANOVER PL PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015840",
            "telephone_number": "718-222-1518",
            "fax_number": "718-222-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA-DICKSON",
        "first_name": "LISETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074820",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.