NATHAN ETROG LCSW-R
NPI 1548388127
Social Worker in Far Rockaway, NY

Q: What is Nathan Etrog's NPI number?

The NPI number for Nathan Etrog is 1548388127. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Nathan Etrog's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Etrog was last updated on November 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment

521 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(718) 869-8822(718) 869-8829 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nathan Etrog Lcsw-r NPPES

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

NATHAN ETROG LCSW-R (NPI 1548388127) is an individual social worker in Far Rockaway, New York, licensed in New York (R 011933) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1969).

NPPES Registry Identity

NPI1548388127

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameNATHAN ETROGCredential: LCSW-R

Location Address521 BEACH 20TH STFar Rockaway, NY 11691-3645

Mailing Address83 Cayuga AveAtlantic Beach, NY 11509-1219

Phone(718) 869-8822

Fax(718) 869-8829

Sole ProprietorYes

Medical School CMSOtherGraduated 1969

Enumeration DateMarch 26, 2007

Last NPPES UpdateNovember 9, 2017

✔ NPI 1548388127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · R 011933

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

521 BEACH 20TH ST, Far Rockaway, NY 11691

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Other Identifiers 3

Medicare ID-Type Unspecified06770NY

OtherR011933NY · Nys Dept. Of Ed. License

Medicare UPINQ30927NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Etrog Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456318906

PECOS Enrollment IDI20041215001032

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.

Other Providers at the Same Location NPPES 20

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

ZAYNE PASCOE BECKFORD LMHC

Counselor (Mental Health)