Lisa Fogel LCSW PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LISA FOGEL LCSW PLLC

Practice address

5 Falconbridge Dr
Pittsford, NY 14534-1016

Phone

(585) 474-0356

Fax

(585) 244-8351

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Lisa A Fogel, LCSW-RNPI 1427296342

Title

Owner

Phone

(585) 474-0356

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa A Fogel, LCSW

  • Clinical Social Worker
  • Pittsford, NY
  • NPI 1427296342
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1912523929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FALCONBRIDGE DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341016",
            "telephone_number": "585-474-0356",
            "fax_number": "585-244-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FALCONBRIDGE DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341016",
            "telephone_number": "585-474-0356",
            "fax_number": "585-244-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA FOGEL LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "FOGEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-474-0356",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Levenson, DDS
• Jeffrey Craig Levinn, M.D.
• Edgar Howard Liberman
• Lilac Speech Services PLLC
• Lincare of New York, Inc.
• Lockwood Psychological Services, P. C.
• Amanda Lombardozzi, DO
• Luke Longo
• Ashley Lorch, PT
• Bridget Elizabeth Lougen, BCBA

• Community/Behavioral Health Agency in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.