Organization Active NPI

Judith Lundquist LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1033466388
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0212601 Issued in NY
Legal business name
JUDITH LUNDQUIST LCSW PLLC
Practice address
572 Titus Ave
Ste B
Rochester, NY 14617-3519
Phone
(585) 451-5126
Fax
(585) 266-9336
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Judith Lundquist, LCSWNPI 1588785182
Title
Owner
Phone
(585) 451-5126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R0212601 NY Primary

Addresses

Primary practice location

572 Titus Ave
Ste B
Rochester, NY 14617-3519

Mailing address

572 Titus Ave
Ste B
Rochester, NY 14617-3519
Phone (585) 451-5126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000206 NY Part B Supplier - Clinic/Group Practice 9335398056 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

572 Titus Ave
Ste B
Rochester, NY 14617
Phone (585) 451-5126

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1033466388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "address_2": "STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-451-5126",
            "fax_number": "585-266-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 TITUS AVE",
            "address_2": "STE B",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173519",
            "telephone_number": "585-451-5126",
            "fax_number": "585-266-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH LUNDQUIST LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "LUNDQUIST",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-451-5126",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0212601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.