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ETELLA ZAK LCSW
NPI 1669556122
Social Worker - Clinical in Douglaston, NY

Active since October 24, 2006PECOS Enrolled
243-02 NORTHERN BLVD, DOUGLASTON, NY 11362(718) 423-6200(718) 423-9762 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Etella Zak Lcsw NPPES

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

ETELLA ZAK LCSW (NPI 1669556122) is an individual clinical provider in Douglaston, New York, licensed in New York (R035660-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669556122
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameETELLA ZAKCredential: LCSW
Location Address243-02 NORTHERN BLVDDouglaston, NY 11362-1150
Mailing Address243-02 Northern BlvdDouglaston, NY 11362-1150 · (718) 423-6200 · Fax (718) 423-9762
Phone(718) 423-6200
Fax(718) 423-9762
Sole ProprietorYes
Enumeration DateOctober 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669556122 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 · R035660-1
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.
243-02 NORTHERN BLVD, Douglaston, NY 11362
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Other Identifiers 1

Medicare ID-Type Unspecified0118DPNY · Indv. No. In Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etella Zak 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11362 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

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

MS. LISA MARIA IERACI M.A, LCAT
Poetry Therapist
243-02 NORTHERN BLVD
DOUGLASTON, NY 11362
Queens County (718) 423-6200

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 Etella Zak's NPI number?

The NPI number for Etella Zak is 1669556122. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Etella Zak located?

Etella Zak practices at 243-02 Northern Blvd, Douglaston, NY 11362. The listed phone number is (718) 423-6200.

What is Etella Zak's specialty?

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

Is Etella Zak enrolled in Medicare?

Yes. Etella Zak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Etella Zak was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.