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ST. VINCENT'S SERVICES, INC.
NPI 1003015694
Foster Care Agency in Brooklyn, NY

Active since July 13, 2007CLIA 33D2217184 · Waiver
66 BOERUM PL, BROOKLYN, NY 11201(718) 422-2307(718) 422-2271 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Jul 21, 2022, Mar 19, 2018 (3 updates tracked since 2018).

About St. Vincent's Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. VINCENT'S SERVICES, INC. (NPI 1003015694) is a healthcare organization registered as a foster care agency in Brooklyn, New York and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jude Alexandre, Vp Of Integrated Health Services, as its authorized official.

NPPES Registry Identity

NPI1003015694
Entity TypeOrganization
Primary Taxonomy253J00000X
Legal Business NameST. VINCENT'S SERVICES, INC.
Location Address66 BOERUM PLBrooklyn, NY 11201-5705
Mailing Address66 Boerum PlBrooklyn, NY 11201-5705 · (718) 422-2307 · Fax (718) 422-2271
Phone(718) 422-2307
Fax(718) 422-2271
Organization SubpartNo
Authorized OfficialJude AlexandreVp Of Integrated Health Services · (718) 422-2357
Enumeration DateJuly 13, 2007
Last NPPES UpdateDecember 10, 20253 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1003015694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320900000X
66 BOERUM PL, Brooklyn, NY 11201
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Other Identifiers 3

Medicaid02993433NY
OtherA100102752Medicare Ptan
Medicaid00272679NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St. Vincent's Services, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to St. Vincent's Services, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Lynette Green, LCSW
Clinical Social Worker
NPI 1790064327
66 BOERUM PL
Brooklyn, NY 11201
(347) 422-2414
✔ PECOS✔ Accepts MedicareSame address
Domenica Macri, LCSW
Clinical Social Worker
NPI 1750455705
66 BOERUM PLACE
Brooklyn, NY 11201
(718) 522-6011
✔ PECOS✔ Accepts MedicareSame address
Rodney Gwyn, LCSW
Clinical Social Worker
NPI 1154545325
333 ATLANTIC AVENUE ST VINCENTS MENTAL HEALTH
Brooklyn, NY 11201
(718) 522-6011
✔ PECOS✔ Accepts Medicare0.2 mi
Octavio Roman, LCSW-R
Clinical Social Worker
NPI 1215055512
333 ATLANTIC AVE
Brooklyn, NY 11201
(718) 522-6011
✔ PECOS✔ Accepts Medicare0.2 mi
Jean Robert Jacques, M.D.
Psychiatry
NPI 1154306868
451 CLARKSON AVE
Brooklyn, NY 11203
(718) 245-2743
✔ PECOS3.3 mi
Annie Reed, LCSW
Clinical Social Worker
NPI 1053794487
305 E 88TH ST APT#1A
New York, NY 10128
(646) 342-3733
✔ PECOS✔ Accepts Medicare6.5 mi
Mira Staco, N.P.P. A.N.P.
Nurse Practitioner
NPI 1235464298
819 UNIVERSITY ST
Valley Stream, NY 11581
(516) 569-0887
✔ PECOS✔ Accepts Medicare14 mi
Lillian Alu Gonzalez, L.C.S.W.
Clinical Social Worker
NPI 1023174836
46 PUTTERS PL
Savannah, GA 31419
(646) 522-4957
✔ PECOS723 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2217184

St Vincent's Services Dba Heartshare St Vincent's Services · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2217184
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 18, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Denise Wood-Ruff
Laboratory Phone(718) 422-2357
Laboratory LocationSt Vincent's Services Dba Heartshare St Vincent's Services66 Boerum Place, Brooklyn, NY 11201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Vincent's Services, Inc.'s NPI number?

The NPI number for St. Vincent's Services, Inc. is 1003015694. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is St. Vincent's Services, Inc. located?

St. Vincent's Services, Inc. is located at 66 Boerum Pl, Brooklyn, NY 11201. The listed phone number is (718) 422-2307.

What is St. Vincent's Services, Inc.'s specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

Is St. Vincent's Services, Inc. enrolled in Medicare?

Yes. St. Vincent's Services, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St. Vincent's Services, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to St. Vincent's Services, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (6), Nurse Practitioner (1) and Psychiatry (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St. Vincent's Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2217184) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St. Vincent's Services, Inc. was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.