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LETISHA LALL LCSW
NPI 1477974012
Social Worker - Clinical in Ridgewood, NY

Active since December 29, 2013PECOS Enrolled
6686 FRESH POND RD, RIDGEWOOD, NY 11385(718) 576-3607 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2024, May 7, 2021 (2 updates tracked since 2021).

About Letisha Lall Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LETISHA LALL LCSW (NPI 1477974012) is an individual clinical provider in Ridgewood, New York, licensed in New York (088203) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477974012
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLETISHA LALLCredential: LCSW
Location Address6686 FRESH POND RDRidgewood, NY 11385-3924
Mailing Address6686 Fresh Pond RdRidgewood, NY 11385-3924 · (718) 576-3607
Phone(718) 576-3607
Sole ProprietorNo
Enumeration DateDecember 29, 2013
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1477974012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 088203
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6686 FRESH POND RD, Ridgewood, NY 11385
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Letisha Lall Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Letisha Lall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jewish Board Of Family & Childrens Services Inc
5.8 mi
Community/Behavioral Health
463 7TH AVE FL 18
New York, NY 10018
  • Reassigned Medicare billing, New York enrollment
  • 358 clinicians in this Medicare group
NPI 1689755662 (914) 773-7358
Amb Medical Services, P.C.
36 mi
Family Medicine
1 KINGS HWY
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Amb Medical Services PC
  • 54 clinicians in this Medicare group
NPI 1568534766 (631) 342-1673

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA GASPARIAN RPH
Pharmacist
6686 FRESH POND RD
RIDGEWOOD, NY 11385
Queens County (718) 381-1299
GAG DRUG CORP
Pharmacy
6686 FRESH POND RD
GLENDALE, NY 11385
Queens County (718) 381-1299
OLGA SLOOTSKY FNP
Nurse Practitioner (Family)
6686 FRESH POND RD
RIDGEWOOD, NY 11385
Queens County (718) 576-3607
MADISON RAE FARR PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
6686 FRESH POND RD
RIDGEWOOD, NY 11385
Queens County (718) 576-3607

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 Letisha Lall's NPI number?

The NPI number for Letisha Lall is 1477974012. It was assigned to this individual provider in the NPPES registry on December 29, 2013.

Where is Letisha Lall located?

Letisha Lall practices at 6686 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (718) 576-3607.

What is Letisha Lall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Letisha Lall enrolled in Medicare?

Yes. Letisha Lall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Letisha Lall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Letisha Lall reassigns Medicare benefits to 2 organizations: Jewish Board Of Family & Childrens Services Inc (New York, NY) and Amb Medical Services, P.C. (Hauppauge, NY). Each 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 Letisha Lall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Letisha Lall was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.