NPIMap

Organization Active NPI

Spanish Speaking Elderly Council- Raices

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1912180316
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
067580 Issued in NY
Legal business name
SPANISH SPEAKING ELDERLY COUNCIL- RAICES
Practice address
10 Hanover PL PH
Brooklyn, NY 11201-5840
Phone
(718) 222-1518
Fax
(718) 222-4376
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Mrs. Lisette Sosa-Dickson, LCSWNPI 1740201094
Title
Clinical Director
Phone
(718) 222-1518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 067580 NY Primary

Addresses

Primary practice location

10 Hanover PL PH
Brooklyn, NY 11201-5840

Mailing address

51 Tulip St
Bergenfield, NJ 07621-3816
Phone (201) 338-2053

National Provider Directory

National Provider Directory
Tax ID family
Spanish Speaking Ederly Council-Raices2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10 Hanover Pl
Ph
Brooklyn, NY 11201
Phone (718) 222-1515

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1912180316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 TULIP ST",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213816",
            "telephone_number": "201-338-2053",
            "fax_number": "718-222-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HANOVER PL PH",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015840",
            "telephone_number": "718-222-1518",
            "fax_number": "718-222-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH SPEAKING ELDERLY COUNCIL- RAICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "SOSA-DICKSON",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "718-222-1518",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "067580",
            "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 Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.