Active NPI
Andrea Luke, LCSW
- Clinical Social Worker
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089736
- Practice address
- 1299 Portland Ave
Rochester, NY 14621-2730 - Phone
- (585) 709-8319
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 089736 | NY | Primary |
Addresses
Primary practice location
1299 Portland Ave
Rochester, NY 14621-2730
Mailing address
143 Thornton Rd
Rochester, NY 14617-3617
Phone (585) 709-8319
Other practice location 1
143 Thornton Rd
Rochester, NY 14617-3617
Phone (585) 709-8319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Che Senior Psychological Services, PC | Clinical | Current | Accepting new patients |
| Athenapsych LLC | Past | Accepting new patients |
Locations
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101
Interoperability endpoints
- andrealuke@athenapsych.medentdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Psychiatry Physician
- Bronx, NY
- NPI 1679244768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1033658554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 THORNTON RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146173617",
"telephone_number": "585-709-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146212730",
"telephone_number": "585-709-8319"
}
],
"practiceLocations": [
{
"address_1": "143 Thornton Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146173617",
"country_code": "US",
"telephone_number": "585-709-8319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKE",
"first_name": "ANDREA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089736",
"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 Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.