Individual provider Active NPI

Sophia Beckles, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1891295028
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
096612-01 Issued in NY
Practice address
565 Elton St
Brooklyn, NY 11208-3517
Phone
(718) 809-0058
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 096612-01 NY Primary

Addresses

Primary practice location

565 Elton St
Brooklyn, NY 11208-3517

Mailing address

565 Elton St
Brooklyn, NY 11208-3517

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
I20240122003284 NY Practitioner - Clinical Social Worker 0547612947 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096612-01NYMDSocial Worker

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
Health Care Choices Ny Inc CurrentSince Dec 19, 2023 Accepting new patients

Locations

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1891295028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 ELTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ELTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083517",
            "telephone_number": "718-809-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKLES",
        "first_name": "SOPHIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096612-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.