Individual provider Active NPI

Ernestine Garvin

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1760635379
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070402 Issued in NY
Practice address
1221 Herkimer St
Brooklyn, NY 11233-3221
Phone
(718) 300-2417
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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 070402 NY Primary

Addresses

Primary practice location

1221 Herkimer St
Brooklyn, NY 11233-3221

Mailing address

1221 Herkimer St
Brooklyn, NY 11233-3221
Phone (718) 300-2417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070402NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Medical Services PC CurrentSince Nov 21, 2024 Accepting new patients

Locations

1888 Westchester Ave
Bronx, NY 10472
Phone (646) 301-4812

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1760635379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333221",
            "telephone_number": "718-300-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HERKIMER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112333221",
            "telephone_number": "718-300-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "ERNESTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.