Individual provider Active NPI

Lucas Zelanka, LMSW

  • Social Worker
  • Astoria, NY
National Provider Identifier
1043043482
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
124361 Issued in NY
Practice address
2751 Crescent St Lowr Level
Astoria, NY 11102-2581
Phone
(347) 448-6727
Fax
(347) 448-6620
NPI assigned
Aug 21, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 124361 NY Primary

Addresses

Primary practice location

2751 Crescent St Lowr Level
Astoria, NY 11102-2581

Mailing address

2910 Broadway Apt 4D
Astoria, NY 11106-3076
Phone (516) 492-1645

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

LicenseStateTypeSpecialty
124361NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Minds Together LCSW PC Social Worker PastSince Aug 25, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1043043482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BROADWAY APT 4D",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063076",
            "telephone_number": "516-492-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 CRESCENT ST LOWR LEVEL",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022581",
            "telephone_number": "347-448-6727",
            "fax_number": "347-448-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELANKA",
        "first_name": "LUCAS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "124361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.