Active NPI
Therese Bimka, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1750436044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R051837
- Practice address
- 40 8TH Ave
Brooklyn, NY 11217-3918 - Phone
- (718) 622-5220
- Fax
- (718) 789-0140
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R051837 | NY | Primary |
Addresses
Primary practice location
40 8TH Ave
Brooklyn, NY 11217-3918
Mailing address
40 8TH Ave
Brooklyn, NY 11217-3918
Phone (718) 622-5220
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R051837 | NY | MD | Clinical Social Worker |
| 051837 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balance Regenerative Sports and Rehabilitation Medicine PLLC | Past | Accepting new patients | |
| Alternative Optometry for Vision Development P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24624/brand/1/csg/1/fhir/r4
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.
-
- Optometrist
- Brooklyn, NY
- NPI 1437506284
-
- Physical Medicine & Rehabilitation Physician
- Brooklyn, NY
- NPI 1922775717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750436044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173918",
"telephone_number": "718-622-5220",
"fax_number": "718-789-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 8TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112173918",
"telephone_number": "718-622-5220",
"fax_number": "718-789-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIMKA",
"first_name": "THERESE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R051837",
"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.