Individual provider Active NPI

Leslyn Elizabeth Bishop, LCSW

  • Clinical Social Worker
  • Valley Stream, NY
National Provider Identifier
1285800565
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073759-1 Issued in NY
Practice address
70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Phone
(917) 602-9114
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 073759-1 NY Primary

Addresses

Primary practice location

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233

Mailing address

1054 Beach 22ND St
Far Rockaway, NY 11691-3307
Phone (917) 602-9114

Other practice location 1

1600 Central Ave
Far Rockaway, NY 11691-4008
Phone (718) 327-1600 ext. 215

Other practice location 2

13130 Merrick Blvd
Jamaica, NY 11434-4134
Phone (917) 602-9114

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
I20080909000528 NY Practitioner - Clinical Social Worker 2769558162 Reassigns benefits to 1 organization
Practice locations: Jamaica, NY; Valley Stream, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizon Counseling Center Inc 87 clinicians

Practice addresses (Care Compare)

10819 Rockaway Blvd
South Ozone Park, NY 11420-1034

6603 Beach Channel Dr
Arverne, NY 11692-1433
Phone (718) 471-8671

70 E Sunrise Hwy
Valley Stream, NY 11581-1233
Phone (917) 602-9114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073759-1NYMDClinical Social Worker
063864NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Dec 18, 2016 Accepting new patients

Locations

6603 Beach Channel Dr
Far Rockaway, NY 11692
Phone (718) 471-8671

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Organizations & group practices 1

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1285800565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 BEACH 22ND ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913307",
            "telephone_number": "917-602-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 500",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "917-602-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914008",
            "country_code": "US",
            "telephone_number": "718-327-1600 x215",
            "fax_number": "718-868-4792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13130 Merrick Blvd",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114344134",
            "country_code": "US",
            "telephone_number": "917-602-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "LESLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073759-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.