Individual provider Active NPI

Alexander Yentin, LCSW-R

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1750394631
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076191-1 Issued in NY
Practice address
2980 W 28TH St Apt 2348
Brooklyn, NY 11224-2083
Phone
(646) 705-8766
NPI assigned
Aug 14, 2006
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 076191-1 NY Primary

Addresses

Primary practice location

2980 W 28TH St Apt 2348
Brooklyn, NY 11224-2083

Mailing address

2980 W 28TH St Apt 2348
Brooklyn, NY 11224-2083
Phone (646) 705-8766

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
I20080516000367 NY Practitioner - Clinical Social Worker 3779652771 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2980 W 28TH St
Apt 2348
Brooklyn, NY 11224-2083
Phone (646) 705-8766

2980 W 28TH St Apt
Suite 2348
Brooklyn, NY 11224-2083

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076191-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ay Coping Psychotherapy LCSW PLLC CurrentSince Sep 9, 2022 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Apr 28, 2008 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Apr 28, 2008 Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

2928 W 36th St
Fl 2
Brooklyn, NY 11224
Phone (347) 575-5360

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, 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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1750394631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 W 28TH ST APT 2348",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242083",
            "telephone_number": "646-705-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 W 28TH ST APT 2348",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242083",
            "telephone_number": "646-705-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENTIN",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076191-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.