Individual provider Active NPI

Alena Nazarova

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1760083299
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
110025 Issued in NY
Practice address
7802 Bay Pkwy
Brooklyn, NY 11214-1508
Phone
(718) 331-6800
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X 110025 NY Primary

Addresses

Primary practice location

7802 Bay Pkwy
Brooklyn, NY 11214-1508

Mailing address

7802 Bay Pkwy
Brooklyn, NY 11214-1508
Phone (718) 331-6800

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
I20241024001922 NY Practitioner - Clinical Social Worker 7113450586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interborough Developmental and Consultation Center IncGroup PAC ID 7911898192, 167 clinicians

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110025NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc Single Specialty Current Accepting new patients
Interborough Developmental and Consultation Center, Inc. Social Worker CurrentSince Mar 22, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Mar 22, 2025 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Oct 4, 2024 Accepting new patients

Locations

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

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

Organizations & group practices 4

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1760083299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141508",
            "telephone_number": "718-331-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141508",
            "telephone_number": "718-331-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAROVA",
        "first_name": "ALENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.