Constance Lynn Erdmann, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071222 Issued in NY

Practice address

400 Natta Blvd
Bellmore, NY 11710-3137

Phone

(516) 557-8533

NPI assigned

Nov 6, 2006

Reactivated

Jan 17, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family and Children'S Association - Linkage

  • Mental Health Counselor
  • Garden City, NY
  • NPI 1164187449
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1104995158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7925 WINCHESTER BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272128",
            "telephone_number": "718-264-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NATTA BLVD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103137",
            "telephone_number": "516-557-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMANN",
        "first_name": "CONSTANCE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "deactivation_date": "2016-06-14",
        "reactivation_date": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01666971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ei Kid Unlimited N.B.S. Corp
• Jeffrey Eiskowitz
• Maria Eleftheriou
• Nicole Ellis
• Emet Pharmacy LLC
• Samantha Esposito, SLP
• Laurelle Etri
• Jenna Evarts
• Fantastic Chiropractic PC
• Camara Faria

• Clinical Social Worker in Bellmore, NY
• Providers in Bellmore, 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 24, 2024; 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.

Verify at the official NPI Registry.