Individual provider Active NPI

Corine Francesca Patti, LMSW

  • Social Worker
  • Huntington Station, NY
National Provider Identifier
1043782766
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
090471 Issued in NY
Practice address
2075 New York Ave
Huntington Station, NY 11746-3238
Phone
(631) 351-7112
NPI assigned
Dec 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090471 NY Primary

Addresses

Primary practice location

2075 New York Ave
Huntington Station, NY 11746-3238

Mailing address

15 Warren CT
Farmingville, NY 11738-2287
Phone (631) 245-5058

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
I20230908002635 NY Practitioner - Clinical Social Worker 3577927565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090471NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy LCSW, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Janis Hoffman LCSW ,PLLC CurrentSince Aug 1, 2023 Accepting new patients
Samaritan Daytop Village, Inc. Past Accepting new patients

Locations

2171 Jericho Tpke
Ste 240
Commack, NY 11725
Phone (631) 486-7788

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, 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": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1043782766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WARREN CT",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382287",
            "telephone_number": "631-245-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463238",
            "telephone_number": "631-351-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "CORINE",
        "middle_name": "FRANCESCA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-19",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.