Active NPI
Nendler Michel, MSW, LCSW, CASAC-A
- Clinical Social Worker
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090247
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38855 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| 090247 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Li Health Services LCSW PLLC | Clinical | Current | 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.
-
- Clinical Social Worker
- Great Neck, NY
- NPI 1437916186
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.