Individual provider Active NPI

Emily Loren Carvajal, LCSW

  • Social Worker
  • Jamaica, NY
National Provider Identifier
1184932550
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
8974 162ND St Ste 5
Jamaica, NY 11432-5012
Phone
(718) 206-3440
NPI assigned
Sep 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 Primary

Addresses

Primary practice location

8974 162ND St Ste 5
Jamaica, NY 11432-5012

Mailing address

8974 162ND St Ste 5
Jamaica, NY 11432-5012
Phone (718) 206-3440

Other names 1

  • Emily Loren McCabe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211026003122 NC Practitioner - Clinical Social Worker 2860880788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Heal Love Inc 3 clinicians

Practice addresses (Care Compare)

1777 Fordham Blvd
Suite 202 6
Chapel Hill, NC 27514-5859
Phone (888) 204-8409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sheltering Arms Children and Family Services, Inc CurrentSince Nov 24, 2019 Accepting new patients
Grow Heal Love, Inc CurrentSince Sep 22, 2024 Accepting new patients
Safe Space Nyc, Inc. PastSince Nov 24, 2019 Accepting new patients

Locations

1777 Fordham Blvd
Ste 202-6
Chapel Hill, NC 27514
Phone (888) 204-8409

1777 Fordham Blvd
Ste 202
Chapel Hill, NC 27514
Phone (336) 693-4823

8974 162nd St
Ste 5
Jamaica, NY 11432
Phone (718) 206-3440

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": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1184932550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8974 162ND ST STE 5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325012",
            "telephone_number": "718-206-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8974 162ND ST STE 5",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325012",
            "telephone_number": "718-206-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "EMILY",
        "middle_name": "LOREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MCCABE",
            "middle_name": "LOREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.