Individual provider Active NPI

Frieda Roseanna Omezi, LMSW

  • Clinical Social Worker
  • Elmont, NY
National Provider Identifier
1336614585
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077176 Issued in NY
Practice address
176 Rockmart Ave # PVH
Elmont, NY 11003-1732
Phone
(516) 865-2301
NPI assigned
Oct 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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 077176 NY Primary

Addresses

Primary practice location

176 Rockmart Ave # PVH
Elmont, NY 11003-1732

Mailing address

176 Rockmart Ave # PVH
Elmont, NY 11003-1732
Phone (516) 865-2301

Other practice location 1

4277 65th Pl
Woodside, NY 11377-5054
Phone (718) 429-2000

Other names 1

  • Frieda R James Former name

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
I20250527001249 NY Practitioner - Clinical Social Worker 3779002456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Social Work Services LLCGroup PAC ID 4880609528, 74 clinicians

Practice addresses (Care Compare)

1110 S Ave
Suite 404
Staten Island, NY 10314-3411
Phone (800) 277-4680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Social Work Services LLC Clinical CurrentSince Mar 31, 2025 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (347) 209-7917

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1336614585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 ROCKMART AVE # PVH",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031732",
            "telephone_number": "516-865-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 ROCKMART AVE # PVH",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031732",
            "telephone_number": "516-865-2301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4277 65th Pl",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113775054",
            "country_code": "US",
            "telephone_number": "718-429-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMEZI",
        "first_name": "FRIEDA",
        "middle_name": "ROSEANNA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRIEDA",
            "last_name": "JAMES",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.