Individual provider Active NPI

David Delroy Price, LCSWR

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1710040779
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R061140-1 Issued in NY
Practice address
11821 Queens Blvd Ste 505
Forest Hills, NY 11375-7207
Phone
(171) 841-5150
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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 R061140-1 NY Primary

Addresses

Primary practice location

11821 Queens Blvd Ste 505
Forest Hills, NY 11375-7207

Mailing address

11821 Queens Blvd Ste 505
Forest Hills, NY 11375-7207
Phone (718) 415-1501

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
I20140107000324 NY Order and Referring Only - Clinical Social Worker 9032347604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R061140-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1710040779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 505",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757207",
            "telephone_number": "718-415-1501",
            "fax_number": "914-302-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 505",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757207",
            "telephone_number": "171-841-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DAVID",
        "middle_name": "DELROY",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R061140-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.