Individual provider Active NPI

Bogdana Lupes, LCSW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1326314683
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079352-1 Issued in NY
Practice address
8268 164TH St # T5-a
Queens Hospital Center/Act 2 Program
Jamaica, NY 11432-1121
Phone
(718) 883-6517
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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 079352-1 NY Primary

Addresses

Primary practice location

8268 164TH St # T5-a
Queens Hospital Center/Act 2 Program
Jamaica, NY 11432-1121

Mailing address

8268 164TH St # T5-a
Queens Hospital Center/Act 2 Program
Jamaica, NY 11432-1121
Phone (718) 883-6517

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
I20180725001024 NY Practitioner - Clinical Social Worker 2860611647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arista Center for Psychotherapy IncGroup PAC ID 1658364054, 13 clinicians

Practice addresses (Care Compare)

11020 71St Rd
Forest Hills, NY 11375-4914
Phone (718) 793-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arista Center for Psychotherapy Inc CurrentSince May 16, 2018 Accepting new patients

Locations

11020 71st Rd
Ste 111
Forest Hills, NY 11375
Phone (718) 793-3133

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1326314683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8268 164TH ST # T5-A",
            "address_2": "QUEENS HOSPITAL CENTER/ACT 2 PROGRAM",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-883-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST # T5-A",
            "address_2": "QUEENS HOSPITAL CENTER/ACT 2 PROGRAM",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-883-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPES",
        "first_name": "BOGDANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079352-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.