Individual provider Active NPI

Duni Lewis-Bangura, LCSW

  • Clinical Social Worker
  • Fishkill, NY
National Provider Identifier
1396392619
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
209 Old Route 9
Fishkill, NY 12524-2476
Phone
(914) 227-8388
NPI assigned
Aug 21, 2019
Last updated
Aug 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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 NU Primary

Addresses

Primary practice location

209 Old Route 9
Fishkill, NY 12524-2476

Mailing address

209 Old Route 9
Fishkill, NY 12524-2476

Other practice location 1

323 Freedom Rd
Pleasant Valley, NY 12569-5434
Phone (914) 474-1679

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
I20200529001925 NY Practitioner - Clinical Social Worker 3072934082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashburn Family Chiropractic PC CurrentSince Aug 1, 2019 Accepting new patients
BMSC Az LLC Clinical CurrentSince May 1, 2020 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

209 Old Route 9
Fishkill, NY 12524
Phone (845) 875-7133

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": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1396392619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 OLD ROUTE 9",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 OLD ROUTE 9",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242476",
            "telephone_number": "914-227-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Freedom Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasant Valley",
            "state": "NY",
            "postal_code": "125695434",
            "country_code": "US",
            "telephone_number": "914-474-1679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS-BANGURA",
        "first_name": "DUNI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.