Individual provider Active NPI

Deena Mogel, L.M.S.W.

  • Social Worker
  • Swan Lake, NY
National Provider Identifier
1740485960
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
065806 Issued in NY
Practice address
4504 State Route 55
Swan Lake, NY 12783
Phone
(845) 292-6880
Fax
(845) 292-4873
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X 065806 NY Primary

Addresses

Primary practice location

4504 State Route 55
Swan Lake, NY 12783

Mailing address

20 Sunset Dr
Monticello, NY 12701-4500
Phone (845) 794-3249

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

State licenses

LicenseStateTypeSpecialty
065806NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Daytop Village, Inc Past Accepting new patients

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740485960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUNSET DR",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127014500",
            "telephone_number": "845-794-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 STATE ROUTE 55",
            "city": "SWAN LAKE",
            "state": "NY",
            "postal_code": "12783",
            "telephone_number": "845-292-6880",
            "fax_number": "845-292-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGEL",
        "first_name": "DEENA",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "065806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swan Lake, 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.

Verify at the official NPI Registry.