Active NPI
Eric Londregan, LMSW
- Clinical Social Worker
- Far Rockaway, NY
National Provider Identifier
1285918250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1847 Mott Ave
Far Rockaway, NY 11691-4201 - Phone
- (718) 337-6800
- NPI assigned
- Oct 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY | Primary |
Addresses
Primary practice location
1847 Mott Ave
Far Rockaway, NY 11691-4201
Mailing address
1153 President St
Apartment 2a
Brooklyn, NY 11225-1761
Phone (732) 310-3551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00244624 | Medicaid | NY | |
| 1038090 | Other | FACILITY BEACON |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1285918250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 PRESIDENT ST",
"address_2": "APARTMENT 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112251761",
"telephone_number": "732-310-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1847 MOTT AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914201",
"telephone_number": "718-337-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONDREGAN",
"first_name": "ERIC",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-07",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00244624",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY BEACON",
"identifier": "1038090",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.