NICOLE DANIELLE AJENISHE (NPI# 1265946404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265946404 |
| Entity Type | Individual |
| Full Name | NICOLE DANIELLE AJENISHE |
| Credential | LCSW |
| Practice Address |
6209 16th Ave Brooklyn NY 11204-2702 |
| Mailing Address |
1054 Stafford Rd Valley Stream NY 11580-1822 |
| Practice Telephone | 7182340073 |
| Mailing Telephone | 5162633996 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
9762953 | NY | Behavioral Health & Social Service Providers |
| Street Address |
6209 16TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912951641 | Lamia Mahhoud Mroueh | Family Medicine | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2006-05-19 |
| 1891341624 | Gilbert Bell | Counselor | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2019-08-16 |
| 1649733320 | Healthcarechoices Ny, Inc | Clinic/Center | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2019-04-10 |
| 1518402890 | Jose Manuel Vazquez | Registered Nurse | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2016-12-22 |
| 1104219583 | Nina Statman | Social Worker | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2015-03-10 |
| 1215353461 | Ghc Pharmacy Inc. | Pharmacy | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2014-03-12 |
| 1205137023 | Odette Spencer | Nurse Practitioner | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2010-11-10 |
| 1669798583 | Ertha Jeter | Nurse Practitioner | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2010-04-16 |
| 1134442528 | Ludmila Shklyarevsky | Psychiatry & Neurology | 6209 16th Ave, Brooklyn, NY 11204 | 2010-03-12 |
| 1376873265 | Icl Medicaid Service Coordination (msc) | Day Training, Developmentally Disabled Services | 6209 16th Ave, Brooklyn, NY 11204-2702 | 2009-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| 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.