Individual provider Active NPI

Adele I Agin, LCSW

  • Clinical Social Worker
  • Jackson Heights, NY
National Provider Identifier
1871644880
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073641 Issued in NY
Practice address
Lexington Center for Mental Health Services, Inc.
30TH Ave & 75TH Street
Jackson Heights, NY 11370
Phone
(718) 350-3110
Fax
(718) 350-3072
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 073641 NY Primary

Addresses

Primary practice location

Lexington Center for Mental Health Services, Inc.
30TH Ave & 75TH Street
Jackson Heights, NY 11370

Mailing address

2621 Union St
Apt 1H
Flushing, NY 11354-1748
Phone (718) 460-2216

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
I20130701000278 NY Practitioner - Clinical Social Worker 8022147230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2626 75TH St
East Elmhurst, NY 11370-1427
Phone (718) 350-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073641NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Center for Mental Health Services, Inc. Clinical CurrentSince Jan 1, 2013 Accepting new patients

Locations

2526 75th St
East Elmhurst, NY 11370
Phone (718) 350-3110

2502 75th St
Flushing, NY 11370
Phone (718) 350-3143

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871644880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 UNION ST",
            "address_2": "APT 1H",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113541748",
            "telephone_number": "718-460-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LEXINGTON CENTER FOR MENTAL HEALTH SERVICES, INC.",
            "address_2": "30TH AVE & 75TH STREET",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11370",
            "telephone_number": "718-350-3110",
            "fax_number": "718-350-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIN",
        "first_name": "ADELE",
        "middle_name": "I",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.