Individual provider Active NPI

Barbara Fendel, MSSW

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1376576439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR007259-1 Issued in NY
Practice address
75 Prospect St
Suite 111
Huntington, NY 11743-3382
Phone
(631) 423-9021
Fax
(631) 351-1105
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR007259-1 NY Primary

Addresses

Primary practice location

75 Prospect St
Suite 111
Huntington, NY 11743-3382

Mailing address

53 Salem Ridge Dr
Huntington, NY 11743-3018
Phone (631) 673-3115

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR007259-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376576439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SALEM RIDGE DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433018",
            "telephone_number": "631-673-3115",
            "fax_number": "631-351-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PROSPECT ST",
            "address_2": "SUITE 111",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433382",
            "telephone_number": "631-423-9021",
            "fax_number": "631-351-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENDEL",
        "first_name": "BARBARA",
        "credential": "MSSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR007259-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.