Individual provider Active NPI

Deborah K. Zeltmann, LCSW

  • Clinical Social Worker
  • Manorville, NY
National Provider Identifier
1053526848
Registry record updated Feb 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070925-1 Issued in NY
Practice address
46 Golf Club Cir
Manorville, NY 11949-2827
Phone
(631) 878-1217
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2012

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 R070925-1 NY Primary

Addresses

Primary practice location

46 Golf Club Cir
Manorville, NY 11949-2827

Mailing address

46 Golf Club Cir
Manorville, NY 11949-2827
Phone (631) 878-1217

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
I20090916000255 NY Practitioner - Clinical Social Worker 1052467040 Practice locations: Manorville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

46 Golf Club Cir
Manorville, NY 11949-2827
Phone (516) 639-3658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R070925-1NYMDClinical Social Worker
060812NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Environmental Services, Inc. Past Accepting new patients
Living Waters LCSW PC Clinical PastSince Jul 7, 2009 Accepting new patients

Networks

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

Organizations & group practices 2

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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329004800000",
    "number": "1053526848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 GOLF CLUB CIR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492827",
            "telephone_number": "631-878-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 GOLF CLUB CIR",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492827",
            "telephone_number": "631-878-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELTMANN",
        "first_name": "DEBORAH",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, NY

Sources for this page

Verify at the official NPI Registry.