Lesley C Samuel-Young, L.M.S.W.
Individual provider Active NPI Social Worker · Far Rockaway, Queens, NY
NPI 1467532291 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1467532291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 055198-1 (NY)
- Practice address
- 20-02 Seagirt Blvd
Jbfcs Transition Center
Far Rockaway, Queens, NY 11691 - Phone
- (718) 520-8045
- Fax
- (718) 327-4230
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055198-1 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 055198-1 | NY | Yes |
Addresses
Primary practice location
20-02 Seagirt Blvd
Jbfcs Transition Center
Far Rockaway, Queens, NY 11691
Mailing address
2420 Glenwood Rd
#2A
Brooklyn, NY 11210-1150
Phone (718) 859-0393
Other providers in Far Rockaway, Queens, NY
All providers in Far Rockaway, Queens, NY · Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.