Legacy League Family Wellness LLC
NPI 1487361234 · Clinical Social Worker · Jamaica, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy League Family Wellness LLC is a Clinical Social Worker organization in Jamaica, NY (NPI 1487361234).
Provider details
- NPI number
- 1487361234
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Twila Evanson, Executive Director(917) 923-5341
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-01
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Frequently asked questions
- What is Legacy League Family Wellness LLC's NPI number?
- Legacy League Family Wellness LLC's National Provider Identifier (NPI) is 1487361234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy League Family Wellness LLC?
- Legacy League Family Wellness LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Legacy League Family Wellness LLC located?
- Legacy League Family Wellness LLC's practice location on file with NPPES is 14215 110th Ave, Jamaica, NY 11435-5624.
- What is Legacy League Family Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy League Family Wellness LLC is (917) 923-5341.
- Does Legacy League Family Wellness LLC accept Medicare?
- Legacy League Family Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy League Family Wellness LLC?
- The authorized official listed on Legacy League Family Wellness LLC's NPPES record is Twila Evanson, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy League Family Wellness LLC's NPI active?
- Yes — Legacy League Family Wellness LLC's NPI (1487361234) is active in the NPPES registry as of the last update on 2022-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.