Individual provider Active NPI

Vicki P Brown-Bobbio

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1801446240
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
043000-1 Issued in NY
Practice address
9210 4TH Ave # 220
Brooklyn, NY 11209-6305
Phone
(718) 238-6444
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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 043000-1 NY Primary

Addresses

Primary practice location

9210 4TH Ave # 220
Brooklyn, NY 11209-6305

Mailing address

9210 4TH Ave # 220
Brooklyn, NY 11209-6305
Phone (718) 238-6444

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
I20250114001696 NY Practitioner - Clinical Social Worker 1355879693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Practice addresses (Care Compare)

2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone (718) 676-4210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043000-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Nov 20, 2024 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Nov 20, 2024 Accepting new patients

Locations

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1801446240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 4TH AVE # 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096305",
            "telephone_number": "718-238-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 4TH AVE # 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096305",
            "telephone_number": "718-238-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BOBBIO",
        "first_name": "VICKI",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "043000-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.