Active NPI
Lauri Risa Nagel, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1902959208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R054142-1
- Practice address
- 360 9TH St
Brooklyn, NY 11215-5110 - Phone
- (718) 832-1526
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R054142-1 | NY | Primary |
Addresses
Primary practice location
360 9TH St
Brooklyn, NY 11215-5110
Mailing address
387 14TH St
#3
Brooklyn, NY 11215-5110
Phone (718) 768-8138
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0541421 | Other | NY | HIP |
| 02006522 | Medicaid | NY | |
| P2679477 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2024 through Jan 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R054142-1 | NY | MD | Clinical Social Worker |
| 054142 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Board for Family and Children Services | Past | Accepting new patients | |
| Jewish Board of Family and Children'S Services, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1366685430
-
- Addiction (Substance Use Disorder) Counselor
- Brooklyn, NY
- NPI 1760173579
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902959208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 14TH ST",
"address_2": "#3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155110",
"telephone_number": "718-768-8138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 9TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155110",
"telephone_number": "718-832-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEL",
"first_name": "LAURI",
"middle_name": "RISA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R054142-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "R0541421",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02006522",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2679477",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.