Individual provider Active NPI

Teresa Maria Luongo, LCSW

  • Clinical Social Worker
  • Highland Mills, NY
National Provider Identifier
1013218577
Registry record updated Mar 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078328-1 Issued in NY
Practice address
8 Sequoia TRL
Highland Mills, NY 10930-2144
Phone
(917) 647-8516
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 070934-1 NY
Social Worker 104100000X 44SL05551900 NJ
School Social Worker 1041S0200X 23005061 NY
Clinical Social Worker 1041C0700X 078328-1 NY Primary

Addresses

Primary practice location

8 Sequoia TRL
Highland Mills, NY 10930-2144

Mailing address

8 Sequoia TRL
Highland Mills, NY 10930-2144
Phone (917) 647-8516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518000247 NY Practitioner - Clinical Social Worker 9830555879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BMSC Az LLCGroup PAC ID 4385929173, 130 clinicians

Practice addresses (Care Compare)

Cambria Heights, NY 11411
Phone (718) 419-3416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05551900NJMDSocial Worker
070934-1NYMDSocial Worker
078328-1NYMDClinical Social Worker
23005061NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BMSC Az LLC Clinical CurrentSince Nov 13, 2024 Accepting new patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince Dec 14, 2023 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Feb 8, 2023 Accepting new patients

Locations

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330819200000",
    "number": "1013218577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SEQUOIA TRL",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302144",
            "telephone_number": "917-647-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SEQUOIA TRL",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302144",
            "telephone_number": "917-647-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONGO",
        "first_name": "TERESA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2012-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070934-1",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05551900",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "23005061",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078328-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Mills, NY

Sources for this page

Verify at the official NPI Registry.