Active NPI
Arielle Kerianne Lynch
- Social Worker
- Rosedale, NY
National Provider Identifier
1669069134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111057
- Practice address
- 24101 143Rd Ave
Rosedale, NY 11422-2011 - Phone
- (917) 553-1953
- NPI assigned
- Dec 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 111057 | NY | Primary |
Addresses
Primary practice location
24101 143Rd Ave
Rosedale, NY 11422-2011
Mailing address
24101 143Rd Ave
Rosedale, NY 11422-2011
Phone (917) 553-1953
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260223002302 | NY | Order and Referring Only - Clinical Social Worker | 7618458183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101164 | NY | MD | Social Worker |
| 111057 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1669069134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24101 143RD AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222011",
"telephone_number": "917-553-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24101 143RD AVE",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114222011",
"telephone_number": "917-553-1953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "ARIELLE",
"middle_name": "KERIANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-30",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.