Individual provider Active NPI

Yana Shenker, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1942635602
Registry record updated Sep 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087855-1 Issued in NY
Practice address
1539 Bath Avenue
Brooklyn, NY 11228
Phone
(917) 328-8175
NPI assigned
Sep 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2018

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 087855-1 NY Primary

Addresses

Primary practice location

1539 Bath Avenue
Brooklyn, NY 11228

Mailing address

1539 Bath Avenue
Brooklyn, NY 11228
Phone (917) 328-8175

Other practice location 1

231 Brightwater Ct
c6
Brooklyn, NY 11235-7363
Phone (917) 328-8175

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
I20181029000536 NY Practitioner - Clinical Social Worker 0547513186 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

541 Bay Ridge Pkwy
Brooklyn, NY 11209-3309
Phone (917) 579-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087855-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Mind Licensed Clinical Social Work Services, PC Social Worker CurrentSince Apr 23, 2020 Accepting new patients

Locations

541 Bay Ridge Pkwy
Ste Ll
Brooklyn, NY 11209
Phone (929) 200-3049

415 Ocean View Ave
Brooklyn, NY 11235
Phone (718) 769-0997

204 25th St
Ste 303
Brooklyn, NY 11232
Phone (917) 328-8175

541 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 748-6451

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": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538265600000",
    "number": "1942635602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 BATH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11228",
            "telephone_number": "917-328-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 BATH AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11228",
            "telephone_number": "917-328-8175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Brightwater Ct",
            "address_2": "c6",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112357363",
            "country_code": "US",
            "telephone_number": "917-328-8175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENKER",
        "first_name": "YANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2018-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087855-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.