AISABOMEN MUSA-AGBONENI LCSW
NPI 1346717915
Social Worker - Clinical in Brooklyn, NY

Active since October 31, 2018PECOS Enrolled
260 BROADWAY, BROOKLYN, NY 11211(540) 849-5152 Get Directions Write a Review

NPPES record last updated: November 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 29, 2025, Jan 16, 2019, Oct 31, 2018 (3 updates tracked since 2018).

About Aisabomen Musa-agboneni Lcsw NPPES

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

AISABOMEN MUSA-AGBONENI LCSW (NPI 1346717915) is an individual clinical provider in Brooklyn, New York, licensed in New York (101524-01) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346717915
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameAISABOMEN MUSA-AGBONENICredential: LCSW
Location Address260 BROADWAYBrooklyn, NY 11211-8433
Mailing Address350 Vanderbilt AveStaten Island, NY 10304-3570 · (347) 788-8216
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 31, 2018
Last NPPES UpdateNovember 29, 20253 updates tracked since enumeration
NPPES CertifiedNovember 29, 2025
NPI 1346717915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 101524-01
Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 100867-1 (NY)
260 BROADWAY, Brooklyn, NY 11211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aisabomen Musa-agboneni Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294221693
PECOS Enrollment IDI20260106002556
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
260 BROADWAY
BROOKLYN, NY 11211
Social Worker
260 BROADWAY, 4TH FLOOR
BROOKLYN, NY 11211
Social Worker
260 BROADWAY
BROOKLYN, NY 11211
Social Worker
260 BROADWAY, 4TH FLOOR
BROOKLYN, NY 11211
Social Worker
260 BROADWAY, 4TH FLOOR
BROOKLYN, NY 11211
Social Worker
260 BROADWAY, FLOOR 4
BROOKLYN, NY 11211
Pharmacist
260 BROADWAY
BROOKLYN, NY 11211
Social Worker
260 BROADWAY
BROOKLYN, NY 11211

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346717915, enumerated as an "individual" on October 31, 2018.

The provider is located at 260 BROADWAY BROOKLYN, NY 11211 and the phone number is (540) 849-5152.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.