Individual provider Active NPI

Linda Lee Bederman, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1093936296
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074958 Issued in NY
Practice address
10705 70TH Ave
Forest Hills, NY 11375-4300
Phone
(917) 679-6528
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074958 NY Primary

Addresses

Primary practice location

10705 70TH Ave
Forest Hills, NY 11375-4300

Mailing address

9850 67TH Ave Apt 3H
Rego Park, NY 11374-4957
Phone (917) 679-6528

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070810000779 NY Practitioner - Clinical Social Worker 3870684475 Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10705 70TH Ave
Forest Hills, NY 11375-4300
Phone (917) 679-6528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Psychotherapy Services Linda Bederman LCSW PLLC CurrentSince Oct 2, 2022 Accepting new patients
Steinway Child and Family Services, Inc Clinical Past Accepting new patients
Steinway Child and Family Services, Inc. Clinical Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1093936296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 67TH AVE APT 3H",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744957",
            "telephone_number": "917-679-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 70TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754300",
            "telephone_number": "917-679-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDERMAN",
        "first_name": "LINDA",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.