Active NPI
Danielle Dolores Relyea, LMSW
- Social Worker
- Hauppauge, NY
National Provider Identifier
1043490808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 068753-1
- Practice address
- 900 Route 111
Suite 210
Hauppauge, NY 11788 - Phone
- (631) 334-6270
- NPI assigned
- Nov 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 068753-1 | NY | Primary |
Addresses
Primary practice location
900 Route 111
Suite 210
Hauppauge, NY 11788
Mailing address
109 S Bedford Ave
Islandia, NY 11749-1735
Phone (631) 334-6270
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120411000692 | NY | Practitioner - Clinical Social Worker | 1456512854 | Practice locations: Hauppauge, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
525 Townline Rd
Hauppauge, NY 11788-2829
Phone (631) 334-6270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068753-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1043490808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 S BEDFORD AVE",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491735",
"telephone_number": "631-334-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROUTE 111",
"address_2": "SUITE 210",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-334-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RELYEA",
"first_name": "DANIELLE",
"middle_name": "DOLORES",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-09",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "068753-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.