Active NPI
Donna Cohen-Buthmann, LCSW-R
- Social Worker
- Dix Hills, NY
National Provider Identifier
1053829622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 022407-1
- Practice address
- 197 Half Hollow Rd
Dix Hills, NY 11746-5861 - Phone
- (631) 370-1819
- NPI assigned
- Jan 17, 2018
- 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 | 022407-1 | NY | Primary |
Addresses
Primary practice location
197 Half Hollow Rd
Dix Hills, NY 11746-5861
Mailing address
197 Half Hollow Rd
Dix Hills, NY 11746-5861
Phone (631) 370-1819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14-166-33111 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022407-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1053829622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465861",
"telephone_number": "631-370-1819",
"fax_number": "631-370-1714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 HALF HOLLOW RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465861",
"telephone_number": "631-370-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN-BUTHMANN",
"first_name": "DONNA",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "022407-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14-166-33111",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.