Individual provider Active NPI

Robert C Lennihan, LMSW

  • Social Worker
  • Stewart Manor, NY
National Provider Identifier
1679822621
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
075201 Issued in NY
Practice address
38 Stewart Ave
Stewart Manor, NY 11530-2211
Phone
(516) 434-2200
NPI assigned
Sep 6, 2012
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 075201 NY Primary

Addresses

Primary practice location

38 Stewart Ave
Stewart Manor, NY 11530-2211

Mailing address

76 Federal LN
Coram, NY 11727-1621
Phone (631) 331-8637

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

LicenseStateTypeSpecialty
075201NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1679822621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 FEDERAL LN",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117271621",
            "telephone_number": "631-331-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 STEWART AVE",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115302211",
            "telephone_number": "516-434-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNIHAN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewart Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.