Active NPI
Michael Avrut, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1912143355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 070504
- Practice address
- 443 2ND St
Apt. 1L
Brooklyn, NY 11215-2561 - Phone
- (917) 670-9325
- NPI assigned
- Jan 6, 2009
- Last updated
- Jan 6, 2009
- 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 | 070504 | NY | Primary |
Addresses
Primary practice location
443 2ND St
Apt. 1L
Brooklyn, NY 11215-2561
Mailing address
443 2ND St
Apt. 1L
Brooklyn, NY 11215-2561
Phone (917) 670-9325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 19, 2025 through Mar 19, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070504 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1912143355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 2ND ST",
"address_2": "APT. 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152561",
"telephone_number": "917-670-9325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "443 2ND ST",
"address_2": "APT. 1L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112152561",
"telephone_number": "917-670-9325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVRUT",
"first_name": "MICHAEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "070504",
"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 Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.