Individual provider Active NPI

Magdalena Varela, LMSW

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1902107055
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087331-1 Issued in NY
Practice address
1847 Mott Ave
2ND Floor CCNS-BHC Rockaway Outpatient Clinic
Far Rockaway, NY 11691-4201
Phone
(718) 337-6800
NPI assigned
Nov 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 087331-1 NY Primary

Addresses

Primary practice location

1847 Mott Ave
2ND Floor CCNS-BHC Rockaway Outpatient Clinic
Far Rockaway, NY 11691-4201

Mailing address

1847 Mott Ave
2ND Floor
Far Rockaway, NY 11691-4201
Phone (718) 337-6800

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
087331-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: magdalena.varela.p1@direct.heartshare.nextgenshare.com

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": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1902107055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 MOTT AVE",
            "address_2": "2ND FLOOR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914201",
            "telephone_number": "718-337-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 MOTT AVE",
            "address_2": "2ND FLOOR CCNS-BHC ROCKAWAY OUTPATIENT CLINIC",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914201",
            "telephone_number": "718-337-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARELA",
        "first_name": "MAGDALENA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087331-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.