INTERFAITH MEDICAL CENTER (NPI# 1669690152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669690152 |
| Entity Type | Organization |
| Organization Name | INTERFAITH MEDICAL CENTER |
| Practice Address |
1275 Bedford Ave Ste 1 Brooklyn NY 11216-2711 |
| Practice Telephone | 7186137401 |
| Mailing Telephone | 7186137401 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BERNARD SIMON (SOCIAL WORKER) |
| Authorized Official Telephone | 7186137419 |
| Authorized Official Credential | LCSW-R |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
R058801 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855944 | Interfaith Medical Center | Student in an Organized Health Care Education/Training Program | 10517 77th St, Fl 2, Ozone Park, NY 11417-1010 | 2014-01-30 |
| 1538338702 | Interfaith Medical Center | Community Based Residential Treatment Facility, Mental Illness | 1366 E New York Ave, Brooklyn, NY 11212-4535 | 2008-02-21 |
| 1508909987 | Interfaith Medical Center | General Acute Care Hospital | 500 Saint Marks Ave, Brooklyn, NY 11238-3710 | 2007-02-15 |
| 1487724712 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2006-11-08 |
| 1255686184 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1790030641 | Interfaith Medical Center | Psychiatric Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2012-07-17 |
| 1093047821 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2010-02-04 |
| 1235387309 | Interfaith Medical Center | Clinic/Center | 1475 Fulton St, Brooklyn, NY 11216-2506 | 2008-09-03 |
| 1588868889 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-12 |
| 1669674016 | Interfaith Medical Center | Psychiatric Unit | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 | 2007-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INTERFAITH MEDICAL CENTER | 1545 Atlantic Ave, Brooklyn, NY 11213-1122 |
| Street Address |
1275 BEDFORD AVE STE 1 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11216-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720201817 | Tatiana Aude Castanet Basloe | Social Worker | 1275 Bedford Ave, Brooklyn, NY 11216-2711 | 2007-04-10 |
| 1831543628 | Steven Singh | Social Worker | 1275 Bedford Ave, Brooklyn, NY 11216-2711 | 2016-04-18 |
| 1568830735 | Knickerbocker Dialysis Inc | Clinic/Center | 1275 Bedford Ave, Brooklyn, NY 11216-2711 | 2015-09-04 |
| 1972833341 | Barry Feder | Social Worker | 1275 Bedford Ave, Brooklyn, NY 11216-2711 | 2010-01-07 |
| 1356566392 | Interfaith Medical Center | Social Worker | 1275 Bedford Ave, 1st Floor, Brooklyn, NY 11216-2711 | 2007-04-16 |
| 1801019856 | Roger Leonard Clinton I | Social Worker | 1275 Bedford Ave, Brooklyn, NY 11216-2711 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776960 | Alicia Jones | Optometrist | 1530 Bedford Avenue, Brooklyn, NY 11216 | 2020-06-30 |
| 1255984613 | Raushanah A. Smith | Registered Nurse | 141 Madison St., #1, Brooklyn, NY 11216 | 2019-07-24 |
| 1871073171 | Jillian N Beam | Counselor | 763-765 Nostrand Ave, Ste#1, Brooklyn, NY 11216 | 2018-08-16 |
| 1598250086 | Hope Lakeisha Garvin | Social Worker | 763-765 Nostrand Ave, Brooklyn, NY 11216 | 2018-06-27 |
| 1982192233 | Katharine Ha | Social Worker | 278 Quincy St. #4, Brooklyn, NY 11216 | 2018-04-23 |
| 1205340254 | Bed Stuy Acupuncture and Massage Therapy Pllc | Acupuncturist | 1069 Bedford Ave Storefront, Brooklyn, NY 11216 | 2017-11-29 |
| 1619497104 | Aras Occupational Therapy Pllc | Occupational Therapist | 29 Macdonough St, 4g, Brooklyn, NY 11216 | 2017-06-26 |
| 1033648621 | Yaneth Lombana | Social Worker | 1399 Pacific St. 2nd Floor, Brooklyn, NY 11216 | 2017-06-07 |
| 1922495944 | James Leroy Barry Robinson Jr. | Social Worker | 3 Macdonough St Apt 4l, Brooklyn, NY 11216 | 2015-04-16 |
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| Find all providers in zip 11216 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181190 | Kendall Johnson-smith | Social Worker | 108 Kenilworth Place, Comm. 2, Brooklyn, NY 11210-2439 | 2020-10-16 |
| 1316545700 | Emily Rogers | Social Worker | 28 Meserole St Apt 3, Brooklyn, NY 11206-3191 | 2020-10-16 |
| 1841898749 | Deena Grossman | Social Worker | 1014 E 29th St, Brooklyn, NY 11210-3744 | 2020-10-13 |
| 1932706413 | Brooklyn Healthy Mind 360- Nurse Practitioner In Psychiatry Pllc | Social Worker | 26 Court St Ste 409, Brooklyn, NY 11242-1134 | 2020-10-07 |
| 1184221897 | Alexandre David Bauman | Social Worker | 151 Guernsey St Apt 1r, Brooklyn, NY 11222-2848 | 2020-10-06 |
| 1538766308 | Malky Katz | Social Worker | 1621 58th St, Brooklyn, NY 11204-2174 | 2020-10-05 |
| 1881291029 | Andrea M Harris-kornblith | Social Worker | 324 Prospect Ave Apt 1l, Brooklyn, NY 11215-5526 | 2020-10-01 |
| 1255938494 | Juniper Therapeutic Services LLC | Social Worker | 524 Lafayette Ave Apt 4, Brooklyn, NY 11205-4948 | 2020-10-01 |
| 1154938512 | Victor Furtick | Social Worker | 461 Dean St Apt 12p, Brooklyn, NY 11217-4144 | 2020-09-29 |
| 1700493376 | Coral Hain | Social Worker | 830 Marcy Ave Apt 2, Brooklyn, NY 11216-1524 | 2020-09-28 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.