Individual provider Active NPI

Meyoshi Abreu, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1801562293
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098908 Issued in NY
Practice address
4080 Broadway # 232
New York, NY 10032-1572
Phone
(516) 277-6121
NPI assigned
Aug 17, 2021
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 112774 NY
Clinical Social Worker 1041C0700X 44SC06564900 NJ
Clinical Social Worker 1041C0700X 098908 NY Primary

Addresses

Primary practice location

4080 Broadway # 232
New York, NY 10032-1572

Mailing address

4080 Broadway # 232
New York, NY 10032-1572
Phone (646) 470-5198

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
I20250422002152 NY Order and Referring Only - Clinical Social Worker 5890210801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112774NYMDSocial Worker
44SC06564900NJMDClinical Social Worker
098908NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage in Bloom Wellness LCSW PLLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

4080 Broadway
#232
New York, NY 10032
Phone (516) 277-6121

Networks

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

Organizations & group practices 1

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1801562293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY # 232",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321572",
            "telephone_number": "646-470-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 BROADWAY # 232",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321572",
            "telephone_number": "516-277-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREU",
        "first_name": "MEYOSHI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06564900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.