Active NPI
Scott A Christnelly, LCSW
- Clinical Social Worker
- Astoria, NY
National Provider Identifier
1033301916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 074934-1
- Practice address
- 3128 41St St
Astoria, NY 11103-3902 - Phone
- (718) 739-2525
- Fax
- (718) 739-2552
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 074934-1 | NY | Primary |
Addresses
Primary practice location
3128 41St St
Astoria, NY 11103-3902
Mailing address
2331 29TH St Apt 2J
Astoria, NY 11105-2817
Phone (718) 626-0519
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074934-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newyork-Presbyterian-Queens | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Flushing, NY
- NPI 1689958779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1033301916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2331 29TH ST APT 2J",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111052817",
"telephone_number": "718-626-0519",
"fax_number": "718-739-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3128 41ST ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111033902",
"telephone_number": "718-739-2525",
"fax_number": "718-739-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTNELLY",
"first_name": "SCOTT",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "074934-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
- Kusum Natwarlal Chowlera, M.D.
- Natwarlal O. Chowlera, M.D.
- Karin Elizabeth Choy, M.D.
- Cara Lynn Chrissis, PT, DPT
- Panagiota Christia, MD
- Florentia Christodoulidou, M.D.
- Christopher Kyriakides,D.O.Sportsmedicine&Orthopedicrehabilitation,PC
- Thomas Elias Christou, LCSW
- Chrissie Sheung-Yan Chua- Ly Van Manh, LMHC
- Karla Chuan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.