Individual provider Active NPI

Lawan Bailey, LMSW

  • Social Worker
  • Fresh Meadows, NY
National Provider Identifier
1396972329
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
076615-1 Issued in NY
Practice address
16216 Union Tpke
Suite 303
Fresh Meadows, NY 11366-1958
Phone
(718) 264-7250
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 076615-1 NY Primary
Specialist 174400000X 1693295 NY

Addresses

Primary practice location

16216 Union Tpke
Suite 303
Fresh Meadows, NY 11366-1958

Mailing address

16216 Union Tpke
Suite 303
Fresh Meadows, NY 11366-1958
Phone (718) 264-7250

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
076615-1NYMDSocial Worker
1693295NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
My Little Appleseed Grows Limited Liability Company Current Accepting new patients

Locations

16216 Union Tpke
Ste 303
Fresh Meadows, NY 11366
Phone (347) 264-7250

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1396972329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 UNION TPKE",
            "address_2": "SUITE 303",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661958",
            "telephone_number": "718-264-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 UNION TPKE",
            "address_2": "SUITE 303",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661958",
            "telephone_number": "718-264-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "LAWAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076615-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1693295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.