Evan Ira Senreich, MSW LCSW ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0390701 Issued in NY

Practice address

110 21 73Rd Rd
Suite 2
Forest Hills, NY 11375

Phone

(212) 642-8594

Fax

(212) 689-7745

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

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.

• Long Island Consultation Center

  • Counselor
  • Elmhurst, NY
  • NPI 1356016703
  NPD (past)
• Long Island Consultation Center, Inc.

  • Clinical Social Worker
  • Elmhurst, NY
  • NPI 1295878577
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376622605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TAYLOR STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10310",
            "telephone_number": "212-642-8594",
            "fax_number": "212-689-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 21 73RD RD",
            "address_2": "SUITE 2",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "212-642-8594",
            "fax_number": "212-689-7745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENREICH",
        "first_name": "EVAN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "MSW LCSW ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0390701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MANHATTAN",
            "identifier": "NOI921",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scheba Sejour, AGACNP-BC
• Alison Sekora Pinkas
• Lisa Seltzer, M.S. CCC/SLP
• Amrita Sen, LCSW
• Sabrina Senhaji
• Patricia Won Seo, D.D.S.
• Martha Veronica G Sermeno, COTA
• Angie Paola Serrato Vargas
• Ella Seward
• Khalidah Sexton

• Clinical Social Worker in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Social Worker in New York

• 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.