Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679311641 Individual Practitioner Female Practitioner

Ericka J Ennis

Peer Specialist • Brooklyn, NY

Professional Overview & Biography Verified Profile Summary

Ericka Ennis is a registered healthcare professional specializing in Peer Specialist in Brooklyn, NY. Practice services are available at 1623 FLATBUSH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1623 Flatbush Ave

Brooklyn, NY 112103262

Telephone 7183775755
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
179 Specialists

Practicing in Brooklyn, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-15
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NY 5180

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Samuel Finan , LMSW

Social Worker - Clinical

NPI 1003452657

Licensed Master Social Worker

Rebecca Chubak , LMSW

Social Worker - Clinical

NPI 1023310208

Licensed Master Social Worker

NPI 1043599335

Licensed Master Social Worker

Crystal Charles

Social Worker

NPI 1073326419
Jerry Gomez , CHSD

Day Training/Habilitation Specialist

NPI 1114769692
Megan Kleinman , LCSW

Social Worker - Clinical

NPI 1154614949

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 16, 2024

Registered at 1623 FLATBUSH AVE, BROOKLYN, NY 112103262 (Tel: 7183775755)

📍
Updated Business Mailing Address July 16, 2024

Registered at 1623 FLATBUSH AVE # 1623, BROOKLYN, NY 112103262 (Tel: 6467551345)

👤
Provider Name / Credentials Updated July 16, 2024

Recorded as ERICKA ENNIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2024

Peer Specialist (License #5180 in NY)

🟢
Initial NPI Registration & Enumeration July 16, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679311641
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2024
Last Update: July 16, 2024
Sole Proprietor: No

Mailing Address

1623 Flatbush Ave # 1623

Brooklyn, NY 112103262

Phone: 6467551345

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.