Larry Menzie, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3046 Northern Blvd
Long Island City, NY 11101-2816

Phone

(917) 494-3281

Fax

(212) 896-6530

NPI assigned

Mar 12, 2009

Last updated

Jun 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New York Counseling for Change, LLCGroup PAC ID 6709216096, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York Counseling for Change, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Island City, NY
  • NPI 1104456649
  Medicare reassignment Care Compare group NPD
• New York Counseling for Change, LCSW, PLLC

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1891084794
  Authorized official Same address or phone
• Queens Counseling for Change, LCSW, LLP

  • Community/Behavioral Health Agency
  • Long Island City, NY
  • NPI 1104070879
  Authorized official Same address or phone
• Queens Counseling for Change, LCSW, LLP

  • Clinical Social Worker
  • Long Island City, NY
  • NPI 1215388384
  NPD
• New York Center for Addiction Treatment Services, Inc.

  • Clinic/Center
  • Jackson Heights, NY
  • NPI 1700263175
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1972744423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 NORTHERN BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012816",
            "telephone_number": "917-494-3281",
            "fax_number": "212-896-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 NORTHERN BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012816",
            "telephone_number": "917-494-3281",
            "fax_number": "212-896-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 74th St",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113726338",
            "country_code": "US",
            "telephone_number": "718-424-6191",
            "fax_number": "718-424-6192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENZIE",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "050485",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sham S Mendiratta, M.D.
• Ismael M Mendoza, P.T.
• Rowena E. Mendoza, RN
• Nikhil Menon, M.D.
• Ivy Addo Mensah, RN
• Valarie L Merced
• Aqsa Merchant
• Benette Mercier
• Laverne Merritt-Morrison, LMHC, CASAC
• Jonathan D. Metivier, LMHC

• Social Worker in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.