Cornelia S. Lebens, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R036868 Issued in NY

Practice address

350 Martha Ave
Bellport, NY 11713-1525

Phone

(631) 286-6927

NPI assigned

Mar 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kitty Lebens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1332547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332547200000",
    "number": "1902172984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "address_2": "P.O. BOX 2086",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332258",
            "telephone_number": "516-457-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MARTHA AVE",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131525",
            "telephone_number": "631-286-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBENS",
        "first_name": "CORNELIA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-24",
        "last_updated": "2012-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036868",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SOCIAL WORK LICENSE",
            "identifier": "R036868",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KITTY",
            "last_name": "LEBENS",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joseph J Kubicsko IV, LMHC
• Kimberly Lagrega, P.T.
• Caitlin Lamneck
• Patricia Langdon
• John Lazar, DPM
• Leon'S Way Inc
• Zhimin Liu
• Suzanne L. Loftus, M.A., LMFT
• Daniel Lora
• Michelle Robin Lorge, FNP-BC

• Clinical Social Worker in Bellport, NY
• Providers in Bellport, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2012; 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.