Individual provider Active NPI

Eric Axel, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1285120832
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092901 Issued in NY
Practice address
159 E 125TH St
New York, NY 10035-1716
Phone
(212) 741-0100
NPI assigned
Jul 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 103824 NY
Clinical Social Worker 1041C0700X 103824 NY
Clinical Social Worker 1041C0700X 092901 NY Primary

Addresses

Primary practice location

159 E 125TH St
New York, NY 10035-1716

Mailing address

129 N 3Rd St Apt 506
Brooklyn, NY 11249-4019

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092901NYMDSocial Worker
103824NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. CurrentSince Aug 9, 2022 Accepting new patients
Eric Axel, LCSW PLLC Clinical CurrentSince Jul 16, 2023 Accepting new patients
Lifespire, Inc. CurrentSince Aug 9, 2022 Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

159 E 125th St
New York, NY 10035
Phone (212) 996-7381

309 E 94th St
Fl 4
New York, NY 10128
Phone (212) 645-7000

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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1285120832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 3RD ST APT 506",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112494019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351716",
            "telephone_number": "212-741-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXEL",
        "first_name": "ERIC",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-06",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "103824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.