Individual provider Active NPI

Shari P. Levin, LCSW, QCSW

  • Clinical Social Worker
  • Astoria, NY
National Provider Identifier
1821186131
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046909-1 Issued in NY
Practice address
2924 Hoyt Ave S
Astoria, NY 11102-1738
Phone
(718) 721-0606
Fax
(718) 721-4494
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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 R046909-1 NY Primary

Addresses

Primary practice location

2924 Hoyt Ave S
Astoria, NY 11102-1738

Mailing address

2924 Hoyt Ave S
Astoria, NY 11102-1738
Phone (718) 721-0633

Other identifiers 3

IdentifierTypeStateIssuer
N6R87OtherNYEMPIRE/MAGELLAN
P2705742OtherNYOXFORD
02284751MedicaidNY

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
I20090320000183 NY Practitioner - Clinical Social Worker 6002973914 Reassigns benefits to 1 organization
Practice locations: Astoria, NY; Douglaston, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2924 Hoyt Ave S
Astoria, NY 11102-1738
Phone (718) 721-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046909-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work Counseling Services LCSW PLLC Clinical CurrentSince Mar 18, 2018 Accepting new patients

Locations

2924 Hoyt Ave S
Astoria, NY 11102
Phone (718) 721-0606

Networks

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

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1821186131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 HOYT AVE S",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021738",
            "telephone_number": "718-721-0633",
            "fax_number": "718-721-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 HOYT AVE S",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021738",
            "telephone_number": "718-721-0606",
            "fax_number": "718-721-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "SHARI",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "LCSW, QCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046909-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE/MAGELLAN",
            "identifier": "N6R87",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2705742",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02284751",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.