Individual provider Active NPI

Rachel Abtan, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1760146617
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113572-01 Issued in NY
Practice address
1138 E 31St St
Brooklyn, NY 11210-4733
Phone
(718) 252-0688
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 113572-01 NY Primary

Addresses

Primary practice location

1138 E 31St St
Brooklyn, NY 11210-4733

Mailing address

1138 E 31St St
Brooklyn, NY 11210-4733
Phone (347) 949-9152

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
I20260610000109 NY Practitioner - Clinical Social Worker 4880165802 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D.N. Cognitive Counseling LCSW P.C.Group PAC ID 4486134491, 3 clinicians

Practice addresses (Care Compare)

4 Hurley CT
Far Rockaway, NY 11691-5254
Phone (516) 993-3668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113572-01NYMDSocial Worker

Organizations & group practices 1

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1760146617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104733",
            "telephone_number": "347-949-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 E 31ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104733",
            "telephone_number": "718-252-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABTAN",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113572-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.