Individual provider Active NPI

Felipe Ernesto Sepulveda, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1982004909
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092340 Issued in NY
Practice address
495 E158Th Street Apt 5G
Bronx, NY 10451
Phone
(347) 377-2230
NPI assigned
Aug 27, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 092340 NY Primary

Addresses

Primary practice location

495 E158Th Street Apt 5G
Bronx, NY 10451

Mailing address

31 Centre Dr # 1023
Central Valley, NY 10917-6501
Phone (347) 377-2230

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
I20220112002016 NY Practitioner - Clinical Social Worker 5799177275 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092340NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc. CurrentSince Jan 3, 2024 Accepting new patients
Access: Supports for Living Inc CurrentSince Jan 3, 2024 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince Oct 15, 2023 Accepting new patients
Felipe Sepulveda, LCSW, PLLC Clinical Current Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

39 Wallace St
Scotia, NY 12302
Phone (518) 346-6458

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1982004909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CENTRE DR # 1023",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109176501",
            "telephone_number": "347-377-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E158TH STREET APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "347-377-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "FELIPE",
        "middle_name": "ERNESTO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.