Individual provider Active NPI

Judith Yehudis Wolofsky, LMSW, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1740565696
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081441 Issued in NY
Practice address
4015 15TH Ave
Brooklyn, NY 11218-4528
Phone
(718) 208-0792
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079960-1 NY
Clinical Social Worker 1041C0700X 081441 NY Primary

Addresses

Primary practice location

4015 15TH Ave
Brooklyn, NY 11218-4528

Mailing address

145 W 15TH St FL 2
New York, NY 10011-6701
Phone (718) 208-0792

Other names 1

  • Mrs. Judith Yehudis Wolofsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140922001480 NY Practitioner - Clinical Social Worker 4789803891 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY
I20220929003623 NJ Practitioner - Clinical Social Worker 4789803891 Reassigns benefits to 2 organizations
Practice locations: Toms River, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

230 Crest Hill Rd
Toms River, NJ 08755-1030
Phone (718) 208-0792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079960-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 3, 2024 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Sep 1, 2022 Accepting new patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Grow Healthcare Group of New Jersey PC Clinical CurrentSince Jan 3, 2024 Accepting new patients
SBH Community Service Network, Inc. CurrentSince Jun 1, 2014 Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

425 Kings Hwy
Brooklyn, NY 11223

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 6

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": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1740565696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W 15TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100116701",
            "telephone_number": "718-208-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 15TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184528",
            "telephone_number": "718-208-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOFSKY",
        "first_name": "JUDITH",
        "middle_name": "YEHUDIS",
        "name_prefix": "Mrs.",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079960-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "WOLOFSKY",
            "middle_name": "YEHUDIS",
            "prefix": "MRS.",
            "credential": "LMSW, LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.