Robert James Herel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R046367-1 Issued in NY

Practice address

875 6TH Ave Ste Office1
New York, NY 10001-3507

Phone

(917) 743-4326

NPI assigned

Jul 27, 2019

Last updated

Jul 27, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 19, 2020 through Oct 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City Psychotherapy

  • Community/Behavioral Health Agency
  • New York, NY
  • NPI 1487215364
  NPD (past)

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1295389351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TEMPLE COURT",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11218",
            "telephone_number": "917-743-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 6TH AVE STE OFFICE1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013507",
            "telephone_number": "917-743-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREL",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046367-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlin Heredia
• Johanna Heredia, OTA
• Katherine Christine Heredia, RN
• Lourdes Liz Heredia
• Molly Hereford
• Renee Hereth, LCSW
• Johanna Herget, L.AC.
• Alison Berkowitz Hergianto, ANP
• Donna Marie Hergus
• Emily Grace Hering

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.