Active NPI
Joey B Ackerman, LCSW-R
- Mental Health Counselor
- Brooklyn, NY
National Provider Identifier
1982860334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- R078965
- Practice address
- 231 Front St
Suite 113
Brooklyn, NY 11201-1217 - Phone
- (917) 559-0735
- Fax
- (718) 559-4805
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R078965 | NY | |
| Mental Health Counselor | 101YM0800X | R078965 | NY | Primary |
Addresses
Primary practice location
231 Front St
Suite 113
Brooklyn, NY 11201-1217
Mailing address
231 Front St
Suite 113
Brooklyn, NY 11201-1217
Phone (917) 559-0735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 21, 2024 through Feb 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R078965 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tete Dumbo LCSW | Clinical | Current | Accepting new patients |
Locations
68 Jay St
Ste 409
Brooklyn, NY 11201
Phone (646) 477-4912
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": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1982860334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 FRONT ST",
"address_2": "SUITE 113",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011217",
"telephone_number": "917-559-0735",
"fax_number": "718-559-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 FRONT ST",
"address_2": "SUITE 113",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112011217",
"telephone_number": "917-559-0735",
"fax_number": "718-559-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "JOEY",
"middle_name": "B",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R078965",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "R078965",
"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 Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.