Individual provider Active NPI

Ernest D'Amato, C.S.W.

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1780730622
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR014068-1 Issued in NY
Practice address
6735 Ridge Blvd
Suite 6G
Brooklyn, NY 11220-5248
Phone
(718) 836-9281
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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 PR014068-1 NY Primary

Addresses

Primary practice location

6735 Ridge Blvd
Suite 6G
Brooklyn, NY 11220-5248

Mailing address

6735 Ridge Blvd
Suite 6G
Brooklyn, NY 11220-5248
Phone (718) 836-9281

Other identifiers 6

IdentifierTypeStateIssuer
107515OtherNYMANAGED HEALTH NETWORK
1780730622OtherNYCIGNA
109567OtherNYVALUE OPTIONS
N90222OtherNYEBCBS
0088215OtherNYG.H.I.
141488000OtherNYAETNA MAGELLAN

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
I20101209001283 NY Practitioner - Clinical Social Worker 6608063136 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6735 Ridge Blvd
Suite 6G
Brooklyn, NY 11220-5234
Phone (718) 836-9281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR014068-1NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1780730622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 RIDGE BLVD",
            "address_2": "SUITE 6G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205248",
            "telephone_number": "718-836-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 RIDGE BLVD",
            "address_2": "SUITE 6G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205248",
            "telephone_number": "718-836-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMATO",
        "first_name": "ERNEST",
        "credential": "C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR014068-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "107515",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1780730622",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "109567",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBCBS",
            "identifier": "N90222",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G.H.I.",
            "identifier": "0088215",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MAGELLAN",
            "identifier": "141488000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.