Individual provider Active NPI

Ellen Jane Lebowicz, LCSW

  • Social Worker
  • Far Rockaway, NY
National Provider Identifier
1356641450
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
075808 Issued in NY
Practice address
1035 Bay 32ND St
Far Rockaway, NY 11691-1848
Phone
(646) 309-6157
NPI assigned
Oct 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 075808 NY Primary

Addresses

Primary practice location

1035 Bay 32ND St
Far Rockaway, NY 11691-1848

Mailing address

828 Dorian CT
Far Rockaway, NY 11691-5206
Phone (646) 309-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
075808NYMDSocial Worker
045378NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohel Children's Home and Family Services, Inc. Past Accepting new patients

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": "1287878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1356641450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 DORIAN CT",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915206",
            "telephone_number": "646-309-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BAY 32ND ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911848",
            "telephone_number": "646-309-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOWICZ",
        "first_name": "ELLEN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-24",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.