Individual provider Active NPI

Jacqueline Lefkowitz, PHD, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1518102490
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R049727 Issued in NY
Practice address
19 W 34TH St FL 11
New York, NY 10001-3075
Phone
(917) 971-0562
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R049727 NY Primary

Addresses

Primary practice location

19 W 34TH St FL 11
New York, NY 10001-3075

Mailing address

19 W 34TH St FL 11
New York, NY 10001-3075
Phone (917) 971-0562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060317000498 NY Practitioner - Clinical Social Worker 8527075431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arista Center for Psychotherapy IncGroup PAC ID 1658364054, 13 clinicians

Practice addresses (Care Compare)

11020 71St Rd
Forest Hills, NY 11375-4914
Phone (718) 793-5410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R049727NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Arista Center for Psychotherapy Inc CurrentSince Jul 16, 2015 Accepting new patients

Organizations & group practices 2

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1518102490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013075",
            "telephone_number": "917-971-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST FL 11",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013075",
            "telephone_number": "917-971-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFKOWITZ",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.