Individual provider Active NPI

Lisa E Graubart, LCSW

  • Clinical Social Worker
  • Cambria Heights, NY
National Provider Identifier
1366589145
Registry record updated Jan 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
052943-1 Issued in NY
Practice address
117-51 220TH. Street
Cambria Heights, NY 11411-1608
Phone
(917) 470-7186
Fax
(718) 276-0395
NPI assigned
Jan 31, 2007
Last updated
Jan 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2022

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 052943-1 NY Primary

Addresses

Primary practice location

117-51 220TH. Street
Cambria Heights, NY 11411-1608

Mailing address

11751 220TH St
Cambria Heights, NY 11411-1608
Phone (917) 470-7186

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
I20091217000611 NY Practitioner - Clinical Social Worker 2860532199 Practice locations: Cambria Heights, NY; Peekskill, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11751 220TH St
Cambria Heights, NY 11411-1608
Phone (917) 470-7186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052943-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cambria Health Medical, P.C. CurrentSince Jan 17, 2022 Accepting new patients
Transitional Services for New York, Inc PastSince Mar 21, 2002 Accepting new patients
Transitional Services for New York,Inc. Past Accepting new patients

Locations

11751 220th St
Jamaica, NY 11411
Phone (718) 723-4303

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJACBA

Organizations & group practices 3

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1366589145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 220TH ST",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111608",
            "telephone_number": "917-470-7186",
            "fax_number": "718-276-0395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117-51 220TH. STREET",
            "city": "CAMBRIA HEIGHTS",
            "state": "NY",
            "postal_code": "114111608",
            "telephone_number": "917-470-7186",
            "fax_number": "718-276-0395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUBART",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "052943-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambria Heights, NY

Sources for this page

Verify at the official NPI Registry.