Individual provider Active NPI

Nicholas John Lombardi

  • Clinical Social Worker
  • Manorville, NY
National Provider Identifier
1033340732
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084255 Issued in NY
Practice address
2 Chip CT
Manorville, NY 11949-3261
Phone
(631) 946-3033
NPI assigned
Jul 30, 2009
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Social Worker 104100000X
Clinical Social Worker 1041C0700X 084255 NY Primary

Addresses

Primary practice location

2 Chip CT
Manorville, NY 11949-3261

Mailing address

2 Chip CT
Manorville, NY 11949-3261
Phone (631) 946-3033

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
I20160930000105 NY Practitioner - Clinical Social Worker 6800183179 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
Community Counseling and LCSW ServicesGroup PAC ID 3577605617, 17 clinicians
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Visiting Counselors of New York, LCSW, PLLCGroup PAC ID 4688932106, 26 clinicians

Practice addresses (Care Compare)

234 Main St
Center Moriches, NY 11934-3514
Phone (631) 874-0185

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (323) 205-7088

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince Jan 11, 2025 Accepting new patients
Community Counseling & LCSW Services PC Clinical CurrentSince Aug 1, 2016 Accepting new patients
Nicholas J. Lombardi LMSW, PC CurrentSince Apr 27, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients

Locations

234 Main St
Ste 3
Ctr Moriches, NY 11934
Phone (631) 878-7106

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

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

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, 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": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1033340732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHIP CT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493261",
            "telephone_number": "631-946-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHIP CT",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119493261",
            "telephone_number": "631-946-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, NY

Sources for this page

Verify at the official NPI Registry.