Individual provider Active NPI

Anthony Vincent Lerro, LCSW

  • Clinical Social Worker
  • Merrick, NY
National Provider Identifier
1740276849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO16844-01 Issued in NY
Practice address
1971 De Kalb Ave
Merrick, NY 11566-2602
Phone
(516) 379-0525
Fax
(516) 379-2772
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PRO16844-01 NY Primary

Addresses

Primary practice location

1971 De Kalb Ave
Merrick, NY 11566-2602

Mailing address

1971 De Kalb Ave
Merrick, NY 11566-2602
Phone (516) 379-0525

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
I20101020000304 NY Practitioner - Clinical Social Worker 5799978953 Practice locations: Merrick, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1971 De Kalb Ave
Merrick, NY 11566-2602
Phone (516) 652-3634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO16844-01NYMDClinical Social Worker
016844NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodrich Consultation Center Clinical Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 1

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740276849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 DE KALB AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662602",
            "telephone_number": "516-379-0525",
            "fax_number": "516-379-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 DE KALB AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662602",
            "telephone_number": "516-379-0525",
            "fax_number": "516-379-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERRO",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO16844-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.