Shelley Ann Lari, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R056476-1 Issued in NY

Practice address

6717 211TH St
Oakland Gardens, NY 11364-2505

Phone

(347) 809-0109

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Shelley A Buck Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Place LLCGroup PAC ID 3577866839, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beacon Place LLC

  • Adult Day Care Clinic/Center
  • Highland Mills, NY
  • NPI 1326429630
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073645446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 211TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642505",
            "telephone_number": "347-809-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 211TH ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642505",
            "telephone_number": "347-809-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARI",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056476-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "BUCK",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elnoton Kurayev
• Chaim H Kurz, RPH
• Eunice Kwon, MSED
• Jungwon Kwon, MS.RD
• Karen Lam
• Chung Hin Lau, D.D.S.
• Janet Lau
• Lawrence M. Wells, M.D., P.C.
• Daniel Lee
• Eun Jeon Lee, D.D.S

• Clinical Social Worker in Oakland Gardens, NY
• Providers in Oakland Gardens, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.