Individual provider Active NPI

Dominique Jean Baptiste, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1881073674
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
091952 Issued in NY
Practice address
40 Flatbush Avenue Ext FL 8
Brooklyn, NY 11201-2903
Phone
(718) 836-6600
Fax
(718) 439-4303
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 091952 NY Primary

Addresses

Primary practice location

40 Flatbush Avenue Ext FL 8
Brooklyn, NY 11201-2903

Mailing address

40 Flatbush Avenue Ext FL 8
Brooklyn, NY 11201-2903
Phone (718) 836-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
091952NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1881073674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-836-6600",
            "fax_number": "718-439-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FLATBUSH AVENUE EXT FL 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012903",
            "telephone_number": "718-836-6600",
            "fax_number": "718-439-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN BAPTISTE",
        "first_name": "DOMINIQUE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "091952",
            "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 May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.