Individual provider Active NPI

Debra Cahill, LCSW

  • Clinical Social Worker
  • Commack, NY
National Provider Identifier
1013454347
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089587 Issued in NY
Practice address
2171 Jericho Tpke Ste 345
Commack, NY 11725-2900
Phone
(631) 775-3280
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087444 NY
Clinical Social Worker 1041C0700X 089587 NY Primary

Addresses

Primary practice location

2171 Jericho Tpke Ste 345
Commack, NY 11725-2900

Mailing address

2171 Jericho Tpke Ste 345
Commack, NY 11725-2900

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
I20200805001299 NY Practitioner - Clinical Social Worker 8325463516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

2171 Jericho Tpke
Suite 345
Commack, NY 11725-2900
Phone (516) 321-5779

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Psychotherapy Counseling LCSW PLLC Clinical CurrentSince Sep 2, 2023 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Jun 1, 2020 Accepting new patients
North Shore - Lij Medical PC CurrentSince Apr 16, 2024 Accepting new patients
Epic Long Island CurrentSince Jun 1, 2020 Accepting new patients
North Shore-Lij Medical PC CurrentSince Apr 16, 2024 Accepting new patients

Locations

4080 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 738-4844

2171 Jericho Tpke
Ste 345
Commack, NY 11725
Phone (631) 486-5140

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1013454347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 345",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 345",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252900",
            "telephone_number": "631-775-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "DEBRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087444",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.