Individual provider Active NPI

Madeleine Grace Lorenzen, LMSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1922854348
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
122851 Issued in NY
Practice address
1419 Mermaid Ave
Ground Level
Brooklyn, NY 11224-2615
Phone
(718) 210-3110
Fax
(718) 333-0865
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 122851 NY Primary

Addresses

Primary practice location

1419 Mermaid Ave
Ground Level
Brooklyn, NY 11224-2615

Mailing address

1419 Mermaid Ave
Brooklyn, NY 11224-2615
Phone (718) 210-3110

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
122851NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Initiatives, Inc. CurrentSince Apr 28, 2024 Accepting new patients

Locations

1419 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 210-3110

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/cybermed_chi

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": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1922854348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 MERMAID AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242615",
            "telephone_number": "718-210-3110",
            "fax_number": "718-333-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 MERMAID AVE",
            "address_2": "GROUND LEVEL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242615",
            "telephone_number": "718-210-3110",
            "fax_number": "718-333-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZEN",
        "first_name": "MADELEINE",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "122851",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 26, 2024; 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.