Active NPI
Valerie Ann Lutz, LMSW
- Social Worker
- Ronkonkoma, NY
National Provider Identifier
1447306287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 069161
- Practice address
- 90 Air Park Dr
Ronkonkoma, NY 11779-7360 - Phone
- (631) 580-4026
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 069161 | NY | Primary |
Addresses
Primary practice location
90 Air Park Dr
Ronkonkoma, NY 11779-7360
Mailing address
108 Gull Dip Rd
Ridge, NY 11961-2989
Phone (631) 924-6396
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
| License | State | Type | Specialty |
|---|---|---|---|
| 069161 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447306287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 GULL DIP RD",
"city": "RIDGE",
"state": "NY",
"postal_code": "119612989",
"telephone_number": "631-924-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 AIR PARK DR",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117797360",
"telephone_number": "631-580-4026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "VALERIE",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "069161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ronkonkoma, NY
Sources for this page
- 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.