Individual provider Active NPI

Shraga Chafetz, LCSW

  • Clinical Social Worker
  • Lawrence, NY
National Provider Identifier
1336576123
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
241 Union St
Lawrence, NY 11559-1220
Phone
(516) 405-5477
NPI assigned
Oct 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 Primary

Addresses

Primary practice location

241 Union St
Lawrence, NY 11559-1220

Mailing address

241 Union St
Lawrence, NY 11559-1220
Phone (516) 405-5477

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
I20250816000079 NY Practitioner - Clinical Social Worker 2163921115 Reassigns benefits to 1 organization
Practice locations: Lawrence, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

241 Union St
Lawrence, NY 11559-1220
Phone (516) 405-5477

2938 Bayswater Ave
Far Rockaway, NY 11691-1730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Licensed Clinical Social Work Services PLLC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Ohel Children's Home and Family Services, Inc. Social Worker 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": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1336576123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 UNION ST",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591220",
            "telephone_number": "516-405-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 UNION ST",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591220",
            "telephone_number": "516-405-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFETZ",
        "first_name": "SHRAGA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.