Individual provider Active NPI

Aubrey Elizabeth Faggen, LMSW, LSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1871161661
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113911 Issued in NY
Practice address
175 Remsen St FL 4
Brooklyn, NY 11201-4300
Phone
(212) 273-6182
NPI assigned
Jun 16, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06668100 NJ
Social Worker 104100000X 113911 NY Primary

Addresses

Primary practice location

175 Remsen St FL 4
Brooklyn, NY 11201-4300

Mailing address

642 10TH Ave Apt 4S
New York, NY 10036-3077
Phone (610) 608-7124

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
I20250314002992 NY Practitioner - Clinical Social Worker 5395267744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Young Adult Institute IncGroup PAC ID 1153216353, 28 clinicians
Premier Healthcare IncGroup PAC ID 1254233158, 58 clinicians

Practice addresses (Care Compare)

227 E 41St St
FL 8
New York, NY 10017-6927
Phone (212) 273-6521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06668100NJMDSocial Worker
113911NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Young Adult Institute, Inc. CurrentSince Feb 28, 2025 Accepting new patients
Premier Healthcare, Inc. CurrentSince Feb 25, 2025 Accepting new patients
Premier Healthcare, Inc. CurrentSince Feb 25, 2025 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

3060 E Tremont Ave
Bronx, NY 10461
Phone (718) 239-1790

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

220 E 42nd St
Fl 8
New York, NY 10017
Phone (212) 273-2761

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1871161661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 10TH AVE APT 4S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363077",
            "telephone_number": "610-608-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST FL 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014300",
            "telephone_number": "212-273-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGEN",
        "first_name": "AUBREY",
        "middle_name": "ELIZABETH",
        "credential": "LMSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06668100",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.