Individual provider Active NPI

Joseph Lee Dobbins, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1841787066
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010044 Issued in CT
Practice address
2728 Henry Hudson Pkwy Apt 72C
Bronx, NY 10463-4731
Phone
(860) 375-4376
NPI assigned
Apr 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 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 WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 010044 CT Primary

Addresses

Primary practice location

2728 Henry Hudson Pkwy Apt 72C
Bronx, NY 10463-4731

Mailing address

2728 Henry Hudson Pkwy Apt 72C
Bronx, NY 10463-4731
Phone (860) 375-4376

Other practice location 1

91 West St
Danbury, CT 06810-6529
Phone (203) 748-2936

Other identifiers 1

IdentifierTypeStateIssuer
1104959261MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20231218000837 CT Practitioner - Clinical Social Worker 6204285125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stokes Counseling Services LLCGroup PAC ID 9638504202, 43 clinicians

Practice addresses (Care Compare)

16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010044CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Counseling Services LLC Clinical CurrentSince Dec 1, 2023 Accepting new patients
Danbury Youth Services, Inc. Multi-Specialty Past Accepting new patients

Locations

16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341

Organizations & group practices 3

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": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1841787066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 HENRY HUDSON PKWY APT 72C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634731",
            "telephone_number": "860-375-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 HENRY HUDSON PKWY APT 72C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634731",
            "telephone_number": "860-375-4376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91 West St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106529",
            "country_code": "US",
            "telephone_number": "203-748-2936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBBINS",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-13",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "010044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104959261",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.