Active NPI
Stephen Parks Bell, LMSW
- Social Worker
- Flushing, NY
National Provider Identifier
1720190887
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00069712
- Practice address
- 14415 78TH Rd Apt 2B
Flushing, NY 11367-3563 - Phone
- (718) 591-0177
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 00069712 | NY | Primary |
Addresses
Primary practice location
14415 78TH Rd Apt 2B
Flushing, NY 11367-3563
Mailing address
144-15 78TH Road
Flushing, NY 11367
Phone (718) 591-0177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00069712 | Medicaid | NY |
Other names 1
- Stephen Deadelus Parks
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00069712 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230595200000",
"number": "1720190887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144-15 78TH ROAD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "11367",
"telephone_number": "718-591-0177",
"fax_number": "718-845-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14415 78TH RD APT 2B",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673563",
"telephone_number": "718-591-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "STEPHEN",
"middle_name": "PARKS",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "00069712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00069712",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHEN",
"last_name": "PARKS",
"middle_name": "DEADELUS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.