Individual provider Active NPI

Sara Paula Berkowitz, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1902847668
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R058182-1 Issued in NY
Practice address
14732 Jamaica Ave
Jamaica, NY 11435-4082
Phone
(718) 349-9100
NPI assigned
Jun 10, 2006
Last updated
May 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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 R058182-1 NY Primary

Addresses

Primary practice location

14732 Jamaica Ave
Jamaica, NY 11435-4082

Mailing address

14732 Jamaica Ave
Jamaica, NY 11435-4042
Phone (516) 485-6920

Other identifiers 1

IdentifierTypeStateIssuer
02456577MedicaidNY

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
I20050411001198 NY Practitioner - Clinical Social Worker 1850338914 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R058182-1NYMDClinical Social Worker
058182NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
MN Psychological Services PLLC CurrentSince Oct 1, 2020 Accepting new patients
Charles Evans Center, Inc CurrentSince Apr 1, 2021 Accepting new patients
Psychological Healthcare, PLLC CurrentSince Sep 4, 2020 Accepting new patients
Charles Evans Center, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Buffalo Centre for the Treatment of Eating Disorders Past Accepting new patients

Locations

8289 Loop Rd
Baldwinsville, NY 13027
Phone (315) 452-0300

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

5705 Foster Ave
Brooklyn, NY 11234
Phone (646) 457-4800

820 Front St
Hempstead, NY 11550
Phone (516) 564-1100

9502 Rockaway Beach Blvd
Rockaway Beach, NY 11693
Phone (718) 474-2478

3300 James St
Ste 100
Syracuse, NY 13206
Phone (315) 671-2202

Networks

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

Organizations & group practices 5

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1902847668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "516-485-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354082",
            "telephone_number": "718-349-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "SARA",
        "middle_name": "PAULA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058182-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02456577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.