Individual provider Active NPI

Karin Fay Wisansky, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1992889158
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077238-1 Issued in NY
Practice address
1273 53Rd St
Jbfcs 4TH Floor
Brooklyn, NY 11219-3845
Phone
(718) 435-5700
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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 077238-1 NY Primary

Addresses

Primary practice location

1273 53Rd St
Jbfcs 4TH Floor
Brooklyn, NY 11219-3845

Mailing address

1273 53Rd St
Jbfcs 4TH Floor
Brooklyn, NY 11219-3845
Phone (718) 435-5700

Other names 1

  • Tzipporah Karin Wisansky Other name

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
I20101015000179 NY Practitioner - Clinical Social Worker 0244423887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Practice addresses (Care Compare)

1273 53Rd St
Brooklyn, NY 11219-3865
Phone (718) 435-5700

2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone (718) 676-4260

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
077238-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Jul 29, 2010 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jul 29, 2010 Accepting new patients

Locations

1273 53rd St
Ste 4
Brooklyn, NY 11219
Phone (718) 435-5700

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

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1992889158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 53RD ST",
            "address_2": "JBFCS 4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193845",
            "telephone_number": "718-435-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 53RD ST",
            "address_2": "JBFCS 4TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193845",
            "telephone_number": "718-435-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISANSKY",
        "first_name": "KARIN",
        "middle_name": "FAY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077238-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TZIPPORAH",
            "last_name": "WISANSKY",
            "middle_name": "KARIN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.