Individual provider Active NPI

Daniel Bernatowicz, LCSW-R

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1811122971
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079973 Issued in NY
Practice address
188 Woodpoint Rd Apt 1a
Brooklyn, NY 11211-1837
Phone
(718) 701-2220
Fax
(718) 701-2225
NPI assigned
May 19, 2009
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72078875 NY
Clinical Social Worker 1041C0700X 079973 NY Primary

Addresses

Primary practice location

188 Woodpoint Rd Apt 1a
Brooklyn, NY 11211-1837

Mailing address

188 Woodpoint Rd Apt 1a
Brooklyn, NY 11211-1837
Phone (718) 701-2220

Other practice location 1

57 Saint Marks Pl
New York, NY 10003-7902
Phone (212) 982-3470

Other identifiers 1

IdentifierTypeStateIssuer
03336954MedicaidNY

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
I20121121000224 NY Practitioner - Clinical Social Worker 5496906422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Mark's Place Institute for Mental Health IncGroup PAC ID 4688565740, 17 clinicians

Practice addresses (Care Compare)

188 Woodpoint Rd
Apt 1a
Brooklyn, NY 11211-1837
Phone (718) 701-2220

57 Saint Marks PL
New York, NY 10003-7902
Phone (212) 982-3470

57 St Mark's Place
New York, NY 10003-7902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72078875NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mark's Place Institute for Mental Health, Inc CurrentSince Sep 20, 2012 Accepting new patients

Locations

57 Saint Marks Pl
New York, NY 10003
Phone (212) 982-3470

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, 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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1811122971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 WOODPOINT RD APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111837",
            "telephone_number": "718-701-2220",
            "fax_number": "718-701-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 WOODPOINT RD APT 1A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112111837",
            "telephone_number": "718-701-2220",
            "fax_number": "718-701-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Saint Marks Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100037902",
            "country_code": "US",
            "telephone_number": "212-982-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNATOWICZ",
        "first_name": "DANIEL",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72078875",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03336954",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.