Yetunde Bamisayo Bamisile, LMSW
NPI 1124665609ActiveIndividual· Social Worker· Staten Island, NY
Social Worker (LMSW) with Brightside Medical PC and 1 other group, practicing in Staten Island, New York. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1124665609 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | Yes |
| NPI issued | Dec 4, 2019 |
| Last updated in NPPES | Mar 11, 2026 |
| Certified by provider | Mar 11, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 108299-01 | NY |
| Social Worker, Clinical | 1041C0700X | 098859 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (NY) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical groups
- Brightside Medical PCSyracuse, NY · 67 clinicians
- Osier Health PCNew York, NY · 12 clinicians
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