Individual provider Active NPI

Rebecca Herman

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1780946079
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
086521 Issued in NY
Practice address
18 Middleton St
Brooklyn, NY 11206-5415
Phone
(718) 875-6900
Fax
(718) 875-3282
NPI assigned
Jun 12, 2012
Last updated
Jun 12, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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 086521 NY Primary

Addresses

Primary practice location

18 Middleton St
Brooklyn, NY 11206-5415

Mailing address

18 Middleton St
Brooklyn, NY 11206-5415
Phone (718) 875-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121001714 NY Practitioner - Clinical Social Worker 9537698550 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086521NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Assistance Resources & Extended Services Inc CurrentSince Dec 1, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2025 Accepting new patients
Parcare Community Health Network Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

465 Grand St
New York, NY 10002
Phone (212) 420-1970

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1780946079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "086521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.