Active NPI
Yuliya M Nisonova, LMSW
- Clinical Social Worker
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 087727
- Practice address
- 2792 Ocean Ave FL 6
Brooklyn, NY 11229-4730 - Phone
- (718) 332-5268
- NPI assigned
- Apr 7, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 082978-1 | NY | |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 087727 | NY | |
| Clinical Social Worker | 1041C0700X | 087727 | NY | Primary |
Addresses
Primary practice location
2792 Ocean Ave FL 6
Brooklyn, NY 11229-4730
Mailing address
1305 E 18TH St
# A1
Brooklyn, NY 11230-5343
Phone (718) 564-4989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082978-1 | NY | MD | Social Worker |
| 087727 | NY | MD | Developmentally Disabled Services Day Training Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Premier Healthcare, Inc. | Current | Accepting new patients | |
| Skills Nyc Incorporated | Clinical | Current | Accepting new patients |
| Kings Physician Services, PC | Past | Accepting new patients | |
| Park Slope Medical Service PC | Past | Accepting new patients |
Locations
21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474
21111 Northern Blvd
#13292
Bayside, NY 11361
Phone (718) 705-1000
3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790
460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515
220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761
Organizations & group practices 6
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.
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- New York, NY
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-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1831330182
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1144314576
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1083045090
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1144236746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1831489178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 E 18TH ST",
"address_2": "# A1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305343",
"telephone_number": "718-564-4989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2792 OCEAN AVE FL 6",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294730",
"telephone_number": "718-332-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISONOVA",
"first_name": "YULIYA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-07",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "082978-1",
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NY",
"license": "087727",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087727",
"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 Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.