Individual provider Active NPI

Alyssa Barenbaum, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1801122783
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
075119-1 Issued in NY
Practice address
915 E 17TH St
Apt 516
Brooklyn, NY 11230-3750
Phone
(347) 275-7324
Fax
(347) 275-7324
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 075119-1 NY Primary

Addresses

Primary practice location

915 E 17TH St
Apt 516
Brooklyn, NY 11230-3750

Mailing address

915 E 17TH St
Apt 516
Brooklyn, NY 11230-3750
Phone (347) 275-7324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075119-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1801122783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E 17TH ST",
            "address_2": "APT 516",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303750",
            "telephone_number": "347-275-7324",
            "fax_number": "347-275-7324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E 17TH ST",
            "address_2": "APT 516",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303750",
            "telephone_number": "347-275-7324",
            "fax_number": "347-275-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARENBAUM",
        "first_name": "ALYSSA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075119-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.