Active NPI
Colin Scott Lentz, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1013433325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090110-01
- Practice address
- 850 7TH Ave Ste 706
New York, NY 10019-5438 - Phone
- (347) 987-1472
- NPI assigned
- Aug 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090110-01 | NY | Primary |
| Social Worker | 104100000X | 100809-1 | NY |
Addresses
Primary practice location
850 7TH Ave Ste 706
New York, NY 10019-5438
Mailing address
3424 82ND St Apt 4D
Jackson Heights, NY 11372-2912
Phone (508) 332-0431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100809-1 | NY | MD | Social Worker |
| 090110-01 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1013433325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 82ND ST APT 4D",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113722912",
"telephone_number": "508-332-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 7TH AVE STE 706",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195438",
"telephone_number": "347-987-1472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENTZ",
"first_name": "COLIN",
"middle_name": "SCOTT",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-17",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090110-01",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "100809-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.