Individual provider Active NPI

Lindsay Lustgarten, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1487051330
Registry record updated Sep 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085171 Issued in NY
Practice address
302 5TH Ave
Ste 1102
New York, NY 10001-3604
Phone
(516) 459-2255
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 085171
Clinical Social Worker 1041C0700X 085171 NY Primary

Addresses

Primary practice location

302 5TH Ave
Ste 1102
New York, NY 10001-3604

Mailing address

694 Terrace HTS
Wyckoff, NJ 07481-1033
Phone (516) 459-2255

Other practice location 1

250 W 64th St
New York, NY 10023-6402
Phone (917) 386-9302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170327000986 NY Practitioner - Clinical Social Worker 8224313671 Practice locations: New York, NY
I20250404002070 NJ Practitioner - Clinical Social Worker 8224313671 Practice locations: Wyckoff, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

302 5TH Ave
Suite 1113
New York, NY 10001-3604
Phone (516) 459-2255

694 Terrace HTS
Wyckoff, NJ 07481-1033
Phone (516) 459-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085171NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lindsay Lustgarten Clinical CurrentSince Apr 19, 2020 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients
Catholic Charities Neigborhood Services PastSince Nov 10, 2019 Accepting new patients

Locations

302 5th Ave
Ste 1103
New York, NY 10001
Phone (516) 459-2255

Organizations & group practices 3

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": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1487051330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 TERRACE HTS",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811033",
            "telephone_number": "516-459-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 5TH AVE",
            "address_2": "STE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013604",
            "telephone_number": "516-459-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W 64th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100236402",
            "country_code": "US",
            "telephone_number": "917-386-9302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUSTGARTEN",
        "first_name": "LINDSAY",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": "085171",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.