Individual provider Active NPI

Wayne Lacks, LCSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1306895768
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R026554 Issued in NY
Practice address
1740 Ocean Ave
Brooklyn, NY 11230-5460
Phone
(718) 338-6515
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R026554 NY Primary

Addresses

Primary practice location

1740 Ocean Ave
Brooklyn, NY 11230-5460

Mailing address

1740 Ocean Ave
Brooklyn, NY 11230-5448
Phone (718) 338-6515

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
I20050813000156 NY Practitioner - Clinical Social Worker 0941230528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5309 18TH Ave
Brooklyn, NY 11204-1523
Phone (718) 705-5190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R026554NYMDSocial Worker
026554NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Childrens Home Past Accepting new patients

Organizations & group practices 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306895768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305448",
            "telephone_number": "718-338-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305460",
            "telephone_number": "718-338-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKS",
        "first_name": "WAYNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R026554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.