Individual provider Active NPI

Lauri Sibblies, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1225256878
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
052793 Issued in NY
Practice address
82-68 164TH St
Jamaica, NY 11432
Phone
(718) 883-3225
Fax
(718) 883-6193
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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 052793 NY Primary

Addresses

Primary practice location

82-68 164TH St
Jamaica, NY 11432

Mailing address

450 Hungry Harbor Rd
Valley Stream, NY 11581-3637
Phone (917) 294-0899

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

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
I20251111001602 NY Practitioner - Clinical Social Worker 2860884186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209

3047 Ave U
Brooklyn, NY 11229

450 Hungry Harbor Rd
Valley Stream, NY 11581-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052793NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LS LCSW PLLC Clinical CurrentSince Sep 21, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Oct 18, 2025 Accepting new patients
LPS Consulting Inc Clinical CurrentSince Feb 6, 2022 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Oct 18, 2025 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

Organizations & group practices 4

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1225256878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 HUNGRY HARBOR RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813637",
            "telephone_number": "917-294-0899",
            "fax_number": "718-334-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-68 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-883-3225",
            "fax_number": "718-883-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBBLIES",
        "first_name": "LAURI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "052793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.