Organization Active NPI

Resilient Mind Licensed Clinical Social Work Services, PC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1871136564
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENT MIND LICENSED CLINICAL SOCIAL WORK SERVICES, PC
Practice address
541 Bay Ridge Pkwy
Brooklyn, NY 11209-3309
Phone
(929) 200-3049
NPI assigned
Oct 24, 2019
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Yana ShenkerNPI 1942635602
Title
Owner
Phone
(917) 328-8175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

541 Bay Ridge Pkwy
Brooklyn, NY 11209-3309

Mailing address

541 Bay Ridge Pkwy Ste L
Brooklyn, NY 11209-3309
Phone (929) 200-3049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612000632 NY Part B Supplier - Clinic/Group Practice 2466874805 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

204 25th St
Ste 303
Brooklyn, NY 11232
Phone (917) 328-8175

541 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-6451

541 Bay Ridge Pkwy
Ste L
Brooklyn, NY 11209
Phone (929) 200-3049

541 Bay Ridge Pkwy
Ste Ll
Brooklyn, NY 11209
Phone (929) 200-3049

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1871136564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 BAY RIDGE PKWY STE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093309",
            "telephone_number": "929-200-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093309",
            "telephone_number": "929-200-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT MIND LICENSED CLINICAL SOCIAL WORK SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SHENKER",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-328-8175"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "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 Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.