Active NPI
Jacob Lunger, LMSW
- Social Worker
- Monroe, NY
National Provider Identifier
1588085674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 090301
- Practice address
- 49 Forest Rd
Monroe, NY 10950-2923 - Phone
- (845) 782-3242
- NPI assigned
- Dec 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 090301 | NY | Primary |
Addresses
Primary practice location
49 Forest Rd
Monroe, NY 10950-2923
Mailing address
49 Forest Rd
Monroe, NY 10950-2923
Phone (845) 782-3242
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
| License | State | Type | Specialty |
|---|---|---|---|
| 090301 | NY | MD | Clinical Social Worker |
Interoperability endpoints
- jacob.lunger@echc.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1588085674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 FOREST RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109502923",
"telephone_number": "845-782-3242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 FOREST RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109502923",
"telephone_number": "845-782-3242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNGER",
"first_name": "JACOB",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-17",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "090301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.