Individual provider Active NPI

Simi Schwartz, LCSW

  • Social Worker
  • Massapequa, NY
National Provider Identifier
1053829432
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102362-1 Issued in NY
Practice address
89 Leewater Ave
Massapequa, NY 11758-8314
Phone
(516) 387-0628
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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 102362-1 NY Primary

Addresses

Primary practice location

89 Leewater Ave
Massapequa, NY 11758-8314

Mailing address

89 Leewater Ave
Massapequa, NY 11758-8314
Phone (516) 387-0628

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
I20260106003528 NY Practitioner - Clinical Social Worker 3577059898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 Bernard St
Port Washington, NY 11050-2902
Phone (516) 724-9569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102362-1NYMDSocial Worker
092336NYMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Psychology Ny PLLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

6 Bernard St
Prt Washingtn, NY 11050
Phone (516) 467-4788

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1053829432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 LEEWATER AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588314",
            "telephone_number": "516-387-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 LEEWATER AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588314",
            "telephone_number": "516-387-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "SIMI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102362-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.