Individual provider Active NPI

Yelena Zhuklevich, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1831298249
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P0622781 Issued in NY
Practice address
3380 Nostrand Ave
Ste.1E
Brooklyn, NY 11229-4056
Phone
(917) 674-9522
Fax
(718) 764-1165
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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 P0622781 NY Primary

Addresses

Primary practice location

3380 Nostrand Ave
Ste.1E
Brooklyn, NY 11229-4056

Mailing address

354 Van Sicklen Street
2C
Brooklyn, NY 11223
Phone (917) 674-9522

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
I20040909001092 NY Practitioner - Clinical Social Worker 0143117739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooklyn Psychotherapy Services LCSW PLLCGroup PAC ID 1153628490, 6 clinicians

Practice addresses (Care Compare)

2829 Ocean Pkwy
Suite 2
Brooklyn, NY 11235-7859
Phone (917) 933-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P0622781NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychotherapy Services LCSW PLLC CurrentSince Dec 9, 2015 Accepting new patients
Brooklyn Center for Families in Crisis Past Accepting new patients

Locations

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1831298249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 VAN SICKLEN STREET",
            "address_2": "2C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11223",
            "telephone_number": "917-674-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 NOSTRAND AVE",
            "address_2": "STE.1E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294056",
            "telephone_number": "917-674-9522",
            "fax_number": "718-764-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUKLEVICH",
        "first_name": "YELENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P0622781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.