QUEENS PSYCHOTHERAPY LCSW SERVICES P.C.
NPI 1366806705
Social Worker - Clinical in Rego Park, NY
About Queens Psychotherapy Lcsw Services P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUEENS PSYCHOTHERAPY LCSW SERVICES P.C. (NPI 1366806705) is a healthcare organization registered as a clinical in Rego Park, New York and active in the NPI registry since April 2016. The organization lists Vanessa Acevedo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Queens Psychotherapy Lcsw Services P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Queens Psychotherapy Lcsw Services P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 32Rego Park, NY 11374
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Queens Psychotherapy Lcsw Services P.C.'s NPI number?
The NPI number for Queens Psychotherapy Lcsw Services P.C. is 1366806705. It was assigned to this organization in the NPPES registry on April 12, 2016.
Where is Queens Psychotherapy Lcsw Services P.C. located?
Queens Psychotherapy Lcsw Services P.C. is located at 9520 63rd Rd Suite J, Rego Park, NY 11374. The listed phone number is (718) 459-1225.
What is Queens Psychotherapy Lcsw Services P.C.'s specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Queens Psychotherapy Lcsw Services P.C. enrolled in Medicare?
Yes. Queens Psychotherapy Lcsw Services P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Queens Psychotherapy Lcsw Services P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Queens Psychotherapy Lcsw Services P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Queens Psychotherapy Lcsw Services P.C. was last updated on April 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Queens Psychotherapy Lcsw Services P.c. · NPI 1366806705
Clinical organization in Rego Park, New York. Organization record, active in the CMS NPPES registry since April 12, 2016.
## Identity
- **NPI:** 1366806705 (Entity type: Organization)
- **Enumerated:** April 12, 2016
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Organization subpart:** No
- **Authorized official:** Vanessa Acevedo, PRESIDENT
## Practice location
- **Address:** 9520 63RD RD, SUITE J, Rego Park, NY 11374-1160
- **Phone:** (718) 459-1225 · **Fax:** (718) 459-5805
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians (Clinical Social Worker) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 28 within 10 miles; [full list](https://npiprofile.com/npi/1366806705/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1366806705) · Data from the CMS NPPES public registry.