Individual provider Active NPI

Nendler Michel, MSW, LCSW, CASAC-A

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1427694876
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090247 Issued in NY
Practice address
1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329
Phone
(516) 788-8901
Fax
(516) 360-3644
NPI assigned
Nov 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 38855 NY
Mental Health Counselor 101YM0800X NY
Clinical Social Worker 1041C0700X 090247 NY Primary

Addresses

Primary practice location

1010 Northern Blvd Ste 311
Great Neck, NY 11021-5329

Mailing address

41 California St
Hicksville, NY 11801-2531
Phone (516) 353-7593

Other practice location 1

41 California St
Hicksville, NY 11801-2531
Phone (516) 353-7593

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hicksville

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
I20241122002925 NY Practitioner - Clinical Social Worker 8628503901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Li Health Services LCSW PLLCGroup PAC ID 3779014519, 5 clinicians

Practice addresses (Care Compare)

1010 Northern Blvd
Suite 311
Great Neck, NY 11021-5329
Phone (516) 788-8901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38855NYMDAddiction (Substance Use Disorder) Counselor
090247NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Li Health Services LCSW PLLC Clinical CurrentSince Oct 15, 2024 Accepting new patients

Locations

1010 Northern Blvd
Ste 311
Great Neck, NY 11021
Phone (516) 788-8901

28 Maple Pl
Unit 1304
Manhasset, NY 11030

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1427694876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CALIFORNIA ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118012531",
            "telephone_number": "516-353-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 311",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-788-8901",
            "fax_number": "516-360-3644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 California St",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118012531",
            "country_code": "US",
            "telephone_number": "516-353-7593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "NENDLER",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW, CASAC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "38855",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hicksville",
            "affiliation": "N",
            "address_1": "41 California St",
            "city": "Hicksville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "118012531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.