Individual provider Active NPI

Yevgeniya Savkub, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1851478176
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074049-1 Issued in NY
Practice address
38 Winthrop PL
Staten Island, NY 10314-3043
Phone
(718) 727-7077
Fax
(718) 727-7673
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074049-1 NY Primary

Addresses

Primary practice location

38 Winthrop PL
Staten Island, NY 10314-3043

Mailing address

38 Winthrop PL
Staten Island, NY 10314-3043
Phone (718) 727-7077

Other identifiers 2

IdentifierTypeStateIssuer
066670A37OtherNYHEALTH FIRST
0007409MedicaidNY

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
I20070717000617 NY Practitioner - Clinical Social Worker 2668572835 Reassigns benefits to 1 organization
Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crasmere Psychiatric Services PCGroup PAC ID 6002204971, 7 clinicians

Practice addresses (Care Compare)

38 Winthrop PL
Staten Island, NY 10314-3043
Phone (718) 727-7077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074049-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crasmere Psychiatric Services, PC CurrentSince Jun 24, 2022 Accepting new patients
MBD Care LLC Past Accepting new patients
Richmond Medical Solutions, PC PastSince Jun 24, 2022 Accepting new patients
KS Medical, PC PastSince Oct 30, 2014 Accepting new patients

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1851478176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WINTHROP PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143043",
            "telephone_number": "718-727-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 WINTHROP PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143043",
            "telephone_number": "718-727-7077",
            "fax_number": "718-727-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVKUB",
        "first_name": "YEVGENIYA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074049-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "066670A37",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007409",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.