Individual provider Active NPI

Michell Lubeth, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1497224919
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
57 Willoughby St FL 2
Brooklyn, NY 11201-5290
Phone
(347) 473-7428
Fax
(718) 408-6599
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

57 Willoughby St FL 2
Brooklyn, NY 11201-5290

Mailing address

57 Willoughby St
Brooklyn, NY 11201-5257
Phone (347) 473-7428

Other identifiers 1

IdentifierTypeStateIssuer
1538379573MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 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
I20230104002356 NY Practitioner - Clinical Social Worker 6406226695 Reassigns benefits to 2 organizations
I20241021000431 MA Practitioner - Clinical Social Worker 6406226695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fenway Community Health Center, IncGroup PAC ID 0941299655, 79 clinicians

Practice addresses (Care Compare)

1340 Boylston St
Boston, MA 02215-4302
Phone (617) 267-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey House Inc CurrentSince Jan 17, 2024 Accepting new patients
Fenway Community Health Center, Inc CurrentSince Jul 17, 2024 Accepting new patients
Fenway Community Health Center, Inc CurrentSince Jul 17, 2024 Accepting new patients
Housing Works Services II, Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

1340 Boylston St
Boston, MA 02215
Phone (617) 267-0900

57 Willoughby St
Lowr
Brooklyn, NY 11201
Phone (718) 408-6522

57 Willoughby St
Fl 2
Brooklyn, NY 11201
Phone (347) 473-7475

57 Willoughby St
Brooklyn, NY 11201
Phone (718) 408-6522

1751 Park Ave
Frnt 3
New York, NY 10035
Phone (212) 289-6008

145 E 125th St
Fl 4
New York, NY 10035
Phone (718) 249-0763

Organizations & group practices 4

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1497224919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WILLOUGHBY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015257",
            "telephone_number": "347-473-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WILLOUGHBY ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015290",
            "telephone_number": "347-473-7428",
            "fax_number": "718-408-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBETH",
        "first_name": "MICHELL",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538379573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.