Individual provider Active NPI

Dita Dobroshi, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1760717714
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079737-1 Issued in NY
Practice address
522 Courtlandt Ave FL 3
Bronx, NY 10451-5008
Phone
(718) 585-2153
Fax
(718) 585-2157
NPI assigned
Oct 8, 2009
Last updated
Jun 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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 079737-1 NY Primary

Addresses

Primary practice location

522 Courtlandt Ave FL 3
Bronx, NY 10451-5008

Mailing address

2215 43Rd Ave
Long Island City, NY 11101-5018
Phone (718) 389-5100

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
I20251209000051 NY Practitioner - Clinical Social Worker 4688168636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079737NYMDClinical Social Worker
079737-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Nov 11, 2025 Accepting new patients

Locations

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

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, 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": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1760717714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 43RD AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015018",
            "telephone_number": "718-389-5100",
            "fax_number": "718-752-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 COURTLANDT AVE FL 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515008",
            "telephone_number": "718-585-2153",
            "fax_number": "718-585-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBROSHI",
        "first_name": "DITA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079737-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.