Individual provider Active NPI

Stephanie Elaine Lomax, LCSW-R, CASAC, SAP

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1730395351
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114148 Issued in MI
Practice address
165-38A Suite#1 Baisley Blvd.Jamaica, Ny 11434
93 Macdougal St.
Brooklyn, NY 11233
Phone
(347) 683-8928
Fax
(718) 276-8056
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6130 NY
Clinical Social Worker 1041C0700X R054349 NY
Clinical Social Worker 1041C0700X 6801114148 MI Primary

Addresses

Primary practice location

165-38A Suite#1 Baisley Blvd.Jamaica, Ny 11434
93 Macdougal St.
Brooklyn, NY 11233

Mailing address

164-33 109TH Rd.
Jamaica, NY 11433
Phone (347) 683-8928

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

LicenseStateTypeSpecialty
6130NYMDAddiction (Substance Use Disorder) Counselor
6801114148MIMDClinical Social Worker
R054349NYMDClinical Social Worker
054349NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1730395351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164-33 109TH RD.",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11433",
            "telephone_number": "347-683-8928",
            "fax_number": "718-276-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165-38A SUITE#1 BAISLEY BLVD.JAMAICA, NY 11434",
            "address_2": "93 MACDOUGAL ST.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11233",
            "telephone_number": "347-683-8928",
            "fax_number": "718-276-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "STEPHANIE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R, CASAC, SAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "6130",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R054349",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.