Individual provider Active NPI

Laura Frey, LCSW

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1720203136
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R035763-1 Issued in NY
Practice address
St. John'S Episcopal Hospital, Community Mental Health
521 Beach 20TH Street
Far Rockaway, NY 11691
Phone
(718) 869-8822
Fax
(718) 869-8829
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R035763-1 NY Primary
Social Worker 104100000X 035763 NY

Addresses

Primary practice location

St. John'S Episcopal Hospital, Community Mental Health
521 Beach 20TH Street
Far Rockaway, NY 11691

Mailing address

41 Spindle Rd
Hicksville, NY 11801-6229
Phone (516) 735-6798

Other identifiers 2

IdentifierTypeStateIssuer
035763-1OtherNYLCSW
00035763MedicaidNY

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
I20040311000308 NY Practitioner - Clinical Social Worker 1557257151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brooklyn Psychotherapy Services LCSW PLLCGroup PAC ID 1153628490, 6 clinicians

Practice addresses (Care Compare)

2829 Ocean Pkwy
Suite 2
Brooklyn, NY 11235-7859
Phone (917) 933-4545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R035763-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Psychotherapy Services LCSW PLLC Clinical CurrentSince May 13, 2024 Accepting new patients
St John'S Medical Services PC CurrentSince Dec 1, 2024 Accepting new patients

Locations

2829 Ocean Pkwy
Ste 2
Brooklyn, NY 11235
Phone (718) 891-6500

521 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 864-8822

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

431 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-2700

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.frey.1@14448.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1720203136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPINDLE RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118016229",
            "telephone_number": "516-735-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. JOHN'S EPISCOPAL HOSPITAL, COMMUNITY MENTAL HEALTH",
            "address_2": "521 BEACH 20TH STREET",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "11691",
            "telephone_number": "718-869-8822",
            "fax_number": "718-869-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R035763-1",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "035763",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "035763-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00035763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

Verify at the official NPI Registry.