Deborah F. Neretich, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

050974-1 Issued in NY

Practice address

4404 Queens Blvd
2ND Floor
Sunnyside, NY 11104-2406

Phone

(718) 706-1663

NPI assigned

Feb 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mental Health Providers of Western Queens, Inc.

  • Adult Mental Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1477699791
  NPD (past)

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1922547280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 35TH AVE",
            "address_2": "APT. A41",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724660",
            "telephone_number": "347-563-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUEENS BLVD",
            "address_2": "2ND FLOOR",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111042406",
            "telephone_number": "718-706-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERETICH",
        "first_name": "DEBORAH",
        "middle_name": "F.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "050974-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Myers
• Ahmad N Nafees
• Stephanie Naguit, DO
• Neal Santacruz LCSW PLLC
• Heidi L. Nelson, D.M.D.
• New Horizon Pharmacy Corp
• New Neighborhood Pharmacy
• New Neighborhood Pharmacy Inc
• New Pronto Transportation, Inc
• New York Care Physical Therapy, PC

• Clinical Social Worker in Sunnyside, NY
• Providers in Sunnyside, 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 Feb 20, 2017; 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.