Individual provider Active NPI

Danita Elizabeth Omeir-Wright, LCSW-R

  • Clinical Social Worker
  • Freeport, NY
National Provider Identifier
1023307006
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R045771 Issued in NY
Practice address
40 Wilson PL
Freeport, NY 11520-2635
Phone
(516) 312-5240
NPI assigned
Mar 30, 2011
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R045771 NY Primary

Addresses

Primary practice location

40 Wilson PL
Freeport, NY 11520-2635

Mailing address

40 Wilson PL
Freeport, NY 11520-2635
Phone (516) 312-5240

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
I20140203001303 NY Practitioner - Clinical Social Worker 8426035205 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R045771NYMDClinical Social Worker
045771NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Pastoral Counseling Ministry Inc CurrentSince Sep 1, 2020 Accepting new patients

Locations

132 Jefferson Ave
Mineola, NY 11501
Phone (516) 741-0994

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1023307006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WILSON PL",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202635",
            "telephone_number": "516-312-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WILSON PL",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115202635",
            "telephone_number": "516-312-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMEIR-WRIGHT",
        "first_name": "DANITA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.