Active NPI
Andrea N Condell, LCSW
- Clinical Social Worker
- Far Rockaway, NY
National Provider Identifier
1861920043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102965
- Practice address
- 1622 Central Ave
Far Rockaway, NY 11691-4002 - Phone
- (718) 327-9001
- NPI assigned
- May 31, 2017
- Last updated
- Sep 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 095368 | NY | |
| Clinical Social Worker | 1041C0700X | 102965 | NY | Primary |
Addresses
Primary practice location
1622 Central Ave
Far Rockaway, NY 11691-4002
Mailing address
1152 Broadway # 1037a
Hewlett, NY 11557-2320
Phone (516) 336-9359
Other practice location 1
134 N 4th St
Brooklyn, NY 11249-3296
Phone (646) 450-7748
Other names 1
- Dr. Andrea Nicole Condell
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
| License | State | Type | Specialty |
|---|---|---|---|
| 095368 | NY | MD | Social Worker |
| 102965 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Counseling Center 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1861920043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1152 BROADWAY # 1037A",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572320",
"telephone_number": "516-336-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 CENTRAL AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914002",
"telephone_number": "718-327-9001"
}
],
"practiceLocations": [
{
"address_1": "134 N 4th St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112493296",
"country_code": "US",
"telephone_number": "646-450-7748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONDELL",
"first_name": "ANDREA",
"middle_name": "N",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2026-09-05",
"certification_date": "2026-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095368",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "102965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "CONDELL",
"middle_name": "NICOLE",
"prefix": "DR.",
"credential": "DSW, LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.