Individual provider Active NPI

Lewis Eugene Entel, LCSW

  • Clinical Social Worker
  • Far Rockaway, NY
National Provider Identifier
1972580702
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R034456-1 Issued in NY
Practice address
626 Beach 8TH St
Far Rockaway, NY 11691-5202
Phone
(718) 868-4959
Fax
(718) 868-4959
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R034456-1 NY Primary

Addresses

Primary practice location

626 Beach 8TH St
Far Rockaway, NY 11691-5202

Mailing address

626 Beach 8TH St
Far Rockaway, NY 11691-5202
Phone (718) 868-4959

Other identifiers 2

IdentifierTypeStateIssuer
P3164664OtherNYOXFORD HEALTH PLAN
159485POtherNYHIP HEALTH PLAN

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
R034456-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972580702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 BEACH 8TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915202",
            "telephone_number": "718-868-4959",
            "fax_number": "718-868-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 BEACH 8TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915202",
            "telephone_number": "718-868-4959",
            "fax_number": "718-868-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTEL",
        "first_name": "LEWIS",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R034456-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P3164664",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLAN",
            "identifier": "159485P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.