Active NPI
John Francis Lavin, LCSW-R
- Clinical Social Worker
- Rego Park, NY
National Provider Identifier
1710101449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R005008
- Practice address
- 6433 99TH St
Basement Office
Rego Park, NY 11374-3563 - Phone
- (347) 684-0082
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R005008 | NY | Primary |
Addresses
Primary practice location
6433 99TH St
Basement Office
Rego Park, NY 11374-3563
Mailing address
48-01 42ND Street
Apt. 2D
Sunnyside, NY 11104-3117
Phone (347) 684-0082
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R005008 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710101449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48-01 42ND STREET",
"address_2": "APT. 2D",
"city": "SUNNYSIDE",
"state": "NY",
"postal_code": "111043117",
"telephone_number": "347-684-0082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6433 99TH ST",
"address_2": "BASEMENT OFFICE",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743563",
"telephone_number": "347-684-0082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIN",
"first_name": "JOHN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R005008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.