Individual provider Active NPI

Emnine Lefevre, LCSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1538726526
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095203 Issued in NY
Practice address
480 Route 17M
Middletown, NY 10940-4525
Phone
(845) 239-4541
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 095203 NY Primary

Addresses

Primary practice location

480 Route 17M
Middletown, NY 10940-4525

Mailing address

480 Route 17M
Middletown, NY 10940-4525
Phone (845) 239-4541

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
I20230726000049 NY Practitioner - Clinical Social Worker 8325409295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

812 Woodbury Rd
Woodbury, NY 11797-2501
Phone (631) 529-6563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Jun 11, 2023 Accepting new patients
Eb Licensed Clinical Social Work Services, PLLC CurrentSince Jan 5, 2026 Accepting new patients
Catholic Charities Neigborhood Services PastSince Nov 10, 2019 Accepting new patients
Mid Island Orthopedics & Sports Medicine PC PastSince Aug 1, 1991 Accepting new patients
Catholic Charities Neighborhood Services, Inc. PastSince Jul 24, 2022 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

Locations

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

191 Joralemon St
Fl 11
Brooklyn, NY 11201

191 Joralemon St
Fl 6
Brooklyn, NY 11201

1847 Mott Ave
Far Rockaway, NY 11691
Phone (718) 337-6800

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

812 Woodbury Rd
Woodbury, NY 11797
Phone (516) 935-1234

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1538726526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 ROUTE 17M",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404525",
            "telephone_number": "845-239-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ROUTE 17M",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404525",
            "telephone_number": "845-239-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFEVRE",
        "first_name": "EMNINE",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.