Individual provider Active NPI

Laurie Nan Acks, MSW CSW

  • Clinical Social Worker
  • North Woodmere, NY
National Provider Identifier
1841350873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R040196 Issued in NY
Practice address
880 Cherry LN
North Woodmere, NY 11581
Phone
(516) 791-3902
NPI assigned
Dec 11, 2006
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
Clinical Social Worker 1041C0700X R040196 NY Primary

Addresses

Primary practice location

880 Cherry LN
North Woodmere, NY 11581

Mailing address

880 Cherry LN
North Woodmere, NY 11581
Phone (516) 791-3902

Other identifiers 1

IdentifierTypeStateIssuer
01791928MedicaidNY

Other names 1

  • Ms. Laurie Nan Friedlieb Former name

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
R040196NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841350873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CHERRY LN",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-791-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CHERRY LN",
            "city": "NORTH WOODMERE",
            "state": "NY",
            "postal_code": "11581",
            "telephone_number": "516-791-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKS",
        "first_name": "LAURIE",
        "middle_name": "NAN",
        "name_prefix": "Mrs.",
        "credential": "MSW CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01791928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "FRIEDLIEB",
            "middle_name": "NAN",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Woodmere, 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.