Individual provider Active NPI

Anita Louise Smith, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1962572891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R039486 Issued in NY
Practice address
9435 Ridge Blvd
Jbfcs Bayridge Counseling Center
Brooklyn, NY 11209
Phone
(718) 238-6444
Fax
(718) 238-5165
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X R039486 NY Primary

Addresses

Primary practice location

9435 Ridge Blvd
Jbfcs Bayridge Counseling Center
Brooklyn, NY 11209

Mailing address

265 Clinton St
Brooklyn, NY 11201
Phone (718) 238-6444

Other identifiers 1

IdentifierTypeStateIssuer
R039486B37OtherNYHEALTH FIRST

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
I20110503000688 NY Practitioner - Clinical Social Worker 2365627536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

9201 4TH Ave
Brooklyn, NY 11209-7006
Phone (718) 238-6444

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R039486NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jun 25, 2001 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Jun 25, 2001 Accepting new patients
Jewish Board for Family and Children Services Past Accepting new patients

Locations

9435 Ridge Blvd
Brooklyn, NY 11209
Phone (718) 238-6441

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

9201 4th Ave
Brooklyn, NY 11209
Phone (718) 748-1234

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962572891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "718-238-6444",
            "fax_number": "718-238-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 RIDGE BLVD",
            "address_2": "JBFCS BAYRIDGE COUNSELING CENTER",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-238-6444",
            "fax_number": "718-238-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANITA LOUISE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R039486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "R039486B37",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.