Active NPI
Jeffrey Carl O'Malley, L.C.S.W
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1881896579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077388-1
- Practice address
- 300 Flatbush Avenue
Brooklyn Center for Psychotherapy
Brooklyn, NY 11215-2363 - Phone
- (917) 865-8438
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 077388-1 | NY | Primary |
Addresses
Primary practice location
300 Flatbush Avenue
Brooklyn Center for Psychotherapy
Brooklyn, NY 11215-2363
Mailing address
80 5TH Ave
Suite 1408-2
New York, NY 10011-8002
Phone (917) 865-8438
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077388-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1881896579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 5TH AVE",
"address_2": "SUITE 1408-2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118002",
"telephone_number": "917-865-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FLATBUSH AVENUE",
"address_2": "BROOKLYN CENTER FOR PSYCHOTHERAPY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152363",
"telephone_number": "917-865-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MALLEY",
"first_name": "JEFFREY",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "L.C.S.W",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077388-1",
"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 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.