Individual provider Active NPI

Mediha Gega, LCSW

  • Clinical Social Worker
  • Jackson Heights, NY
National Provider Identifier
1487305694
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085286-01 Issued in NY
Practice address
3520 Leverich St
Jackson Heights, NY 11372-3951
Phone
(609) 954-5381
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 127555 MA
Social Worker 104100000X 12869 CT
Clinical Social Worker 1041C0700X 085286-01 NY Primary

Addresses

Primary practice location

3520 Leverich St
Jackson Heights, NY 11372-3951

Mailing address

3520 Leverich St
Jackson Heights, NY 11372-3951
Phone (609) 954-5381

Other identifiers 1

IdentifierTypeStateIssuer
085286-01OtherNY STATE LCSW LICENSE NUMBER

Other names 1

  • Mediha Kosovrasti Former name

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

LicenseStateTypeSpecialty
127555MAMDSocial Worker
085286-01NYMDClinical Social Worker
12869CTMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1487305694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 LEVERICH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723951",
            "telephone_number": "609-954-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 LEVERICH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723951",
            "telephone_number": "609-954-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEGA",
        "first_name": "MEDIHA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "127555",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "12869",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085286-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LCSW LICENSE NUMBER",
            "identifier": "085286-01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEDIHA",
            "last_name": "KOSOVRASTI",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.