Individual provider Active NPI

Lana M. Ackaway, NYS LICENSED CLINICA

  • Clinical Social Worker
  • Ny, NY
National Provider Identifier
1275632150
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0291471 Issued in NY
Practice address
280 Madison Ave
Suite 608
Ny, NY 10016-2787
Phone
(917) 294-7883
Fax
(212) 953-6902
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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 R0291471 NY Primary

Addresses

Primary practice location

280 Madison Ave
Suite 608
Ny, NY 10016-2787

Mailing address

241 East 38TH St.
Suite 2a
New York, NY 10016-2787
Phone (917) 294-7883

Other names 1

  • Ms. Lana M Ackaway Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R0291471NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1275632150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 EAST 38TH ST.",
            "address_2": "SUITE 2A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162787",
            "telephone_number": "917-294-7883",
            "fax_number": "212-953-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 608",
            "city": "NY",
            "state": "NY",
            "postal_code": "100162787",
            "telephone_number": "917-294-7883",
            "fax_number": "212-953-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKAWAY",
        "first_name": "LANA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "NYS LICENSED CLINICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0291471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "ACKAWAY",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "CERTIFIED PSYCHOANAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ny, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.