Gail Cirlin-Lazerus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090537 Issued in NY

Practice address

86 Medway Ave
Congers, NY 10920-2825

Phone

(845) 499-0480

NPI assigned

May 23, 2016

Last updated

Apr 5, 2021By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1972950616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BROOKWAY AVE",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891406",
            "telephone_number": "845-499-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MEDWAY AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109202825",
            "telephone_number": "845-499-0480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Brookway Ave",
            "address_purpose": "LOCATION",
            "city": "Valley Cottage",
            "state": "NY",
            "postal_code": "109891406",
            "country_code": "US",
            "telephone_number": "845-499-0480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIRLIN-LAZERUS",
        "first_name": "GAIL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079493",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Congers, NY
• Providers in Congers, 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 Apr 5, 2021; 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.