Patricia Dornelles, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073862 Issued in NY

Practice address

40 Tehama St Apt 1E
Brooklyn, NY 11218-2156

Phone

(917) 803-5522

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Elmhurst, NY
  • NPI 1023122181
  NPD (past)
• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1609980762
  NPD (past)
• Startcare, Inc.

  • Mental Health Counselor
  • New York, NY
  • NPI 1235674409
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780799478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TEHAMA ST APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182156",
            "telephone_number": "917-803-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TEHAMA ST APT 1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182156",
            "telephone_number": "917-803-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Havemeyer St",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112116277",
            "country_code": "US",
            "telephone_number": "718-963-4430",
            "fax_number": "718-963-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORNELLES",
        "first_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Dormevil, M.D
• Tamarah Dormevil
• Jorest Dormil
• Keisha Dormil, M.S
• Maureen Dormody-Shields, MS, ED., SDA
• Lynn Dorney
• Gitti Dornstein, LMSW
• Shelly Doron, MS-CCC-SLP
• Liliya Doronina, MS, OTR/L
• Kateryna Dorosh

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.