Individual provider Active NPI

Denise Dubose Foulkes, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1902014194
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048253-1 Issued in NY
Practice address
2880 Baisley Ave
Bronx, NY 10461-6117
Phone
(914) 734-2205
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R048253-1 NY Primary

Addresses

Primary practice location

2880 Baisley Ave
Bronx, NY 10461-6117

Mailing address

26 Sniffen Mountain Rd
Cortlandt Manor, NY 10567-6404
Phone (914) 734-2205

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
I20120203000754 NY Practitioner - Clinical Social Worker 8527225424 Reassigns benefits to 1 organization
Practice locations: Bronx, NY; Cortlandt Manor, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
My Therapist LCSW PLLCGroup PAC ID 9335473818, 2 clinicians

Practice addresses (Care Compare)

3505 Hill Blvd
Suite K
Yorktown Heights, NY 10598-1210
Phone (914) 352-6116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048253-1NYMDClinical Social Worker
048253NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Hargrove MD PLLC Current Accepting new patients
My Therapist LCSW, PLLC CurrentSince May 19, 2019 Accepting new patients
Wali Mohammad, M.D., P.C. PastSince Jul 1, 1999 Accepting new patients

Locations

2880 Baisley Ave
Bronx, NY 10461
Phone (718) 918-9158

3505 Hill Blvd
Ste K
Yorktown Heights, NY 10598
Phone (914) 245-3303

Networks

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902014194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SNIFFEN MOUNTAIN RD",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105676404",
            "telephone_number": "914-734-2205",
            "fax_number": "914-734-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 BAISLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616117",
            "telephone_number": "914-734-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKES",
        "first_name": "DENISE",
        "middle_name": "DUBOSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048253-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.