Individual provider Active NPI

Millicent Ampadu, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1962921452
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089695 Issued in NY
Practice address
111 Dahlgren PL
Brooklyn, NY 11228-3693
Phone
(718) 745-4288
NPI assigned
Sep 15, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097468 NY
Clinical Social Worker 1041C0700X 089695 NY Primary

Addresses

Primary practice location

111 Dahlgren PL
Brooklyn, NY 11228-3693

Mailing address

111 Dahlgren PL
Brooklyn, NY 11228-3693
Phone (718) 745-4288

Other practice location 1

3042 Westchester Ave
Bronx, NY 10461-4533
Phone (718) 437-5570

Other practice location 2

628 Beverley Rd Ste 1
Brooklyn, NY 11218-3202
Phone (718) 437-5570

Other practice location 3

2857 Steinway St
Astoria, NY 11103-3331
Phone (718) 437-5570

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
I20210128000116 NY Practitioner - Clinical Social Worker 7618381914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Intercity Psychotherapy Services LCSW, P.C.Group PAC ID 7911306923, 5 clinicians

Practice addresses (Care Compare)

7906 4TH Ave
Brooklyn, NY 11209-3907
Phone (718) 704-0898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097468NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercity Psychotherapy Services LCSW, P.C. Clinical CurrentSince Apr 14, 2021 Accepting new patients
Benitez Medical Professional PC Past Accepting new patients

Locations

7906 4th Ave
Brooklyn, NY 11209
Phone (718) 704-0898

7906 4th Ave
Ofc
Brooklyn, NY 11209

6806 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 366-0775

1250 Central Park Ave
Yonkers, NY 10704
Phone (718) 704-0898

Organizations & group practices 2

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962921452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DAHLGREN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283693",
            "telephone_number": "718-745-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 DAHLGREN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283693",
            "telephone_number": "718-745-4288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3042 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104614533",
            "country_code": "US",
            "telephone_number": "718-437-5570",
            "fax_number": "718-437-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 Beverley Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112183202",
            "country_code": "US",
            "telephone_number": "718-437-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2857 Steinway St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111033331",
            "country_code": "US",
            "telephone_number": "718-437-5570",
            "fax_number": "718-437-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMPADU",
        "first_name": "MILLICENT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097468",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.