Individual provider Active NPI

Miroslava Linett Pradella, LCSW-R

  • Clinical Social Worker
  • Hewlett, NY
National Provider Identifier
1659617413
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084595 Issued in NY
Practice address
224 Franklin Ave Ste 10
Hewlett, NY 11557-1928
Phone
(516) 721-7500
Fax
(516) 421-7501
NPI assigned
Dec 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 084595 NY Primary

Addresses

Primary practice location

224 Franklin Ave Ste 10
Hewlett, NY 11557-1928

Mailing address

1245 Hewlett PLZ Unit 133
Hewlett, NY 11557-4006
Phone (516) 415-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1659617413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 HEWLETT PLZ UNIT 133",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115574006",
            "telephone_number": "516-415-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 FRANKLIN AVE STE 10",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571928",
            "telephone_number": "516-721-7500",
            "fax_number": "516-421-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADELLA",
        "first_name": "MIROSLAVA",
        "middle_name": "LINETT",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.