Individual provider Active NPI

Colleen Margaret Lagreca, LCSW

  • Clinical Social Worker
  • Uniondale, NY
National Provider Identifier
1992970693
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0376281 Issued in NY
Practice address
50 Charles Lindbergh Blvd
Suite 400
Uniondale, NY 11553-3626
Phone
(516) 229-2620
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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 R0376281 NY Primary

Addresses

Primary practice location

50 Charles Lindbergh Blvd
Suite 400
Uniondale, NY 11553-3626

Mailing address

50 Charles Lindbergh Blvd
Suite 400
Uniondale, NY 11553-3626
Phone (516) 229-2620

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
R0376281NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1992970693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHARLES LINDBERGH BLVD",
            "address_2": "SUITE 400",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533626",
            "telephone_number": "516-229-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHARLES LINDBERGH BLVD",
            "address_2": "SUITE 400",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115533626",
            "telephone_number": "516-229-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRECA",
        "first_name": "COLLEEN",
        "middle_name": "MARGARET",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0376281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.