Active NPI
Thomas Joseph McCoy, LCSW
- Clinical Social Worker
- Massapequa, NY
National Provider Identifier
1063488377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO37069
- Practice address
- 627 Broadway
Suite 205
Massapequa, NY 11758-5031 - Phone
- (516) 731-3248
- Fax
- (516) 731-3248
- NPI assigned
- Feb 27, 2006
- Last updated
- Jul 11, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | RO37069 | NY | Primary |
Addresses
Primary practice location
627 Broadway
Suite 205
Massapequa, NY 11758-5031
Mailing address
696 Arlington Dr
Seaford, NY 11783-1303
Phone (516) 731-3248
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 |
|---|---|---|---|---|
| I20050622000117 | NY | Practitioner - Clinical Social Worker | 6204871114 | Practice locations: Massapequa, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
627 Broadway
Massapequa, NY 11758-5031
Phone (516) 731-3248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO37069 | NY | MD | Clinical Social Worker |
| 037069 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Center for Psychotherapy, Inc. | Past | Accepting new patients | |
| Amityville Podiatry Associates PC | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1497859664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1063488377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "696 ARLINGTON DR",
"city": "SEAFORD",
"state": "NY",
"postal_code": "117831303",
"telephone_number": "516-731-3248",
"fax_number": "516-731-3248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 BROADWAY",
"address_2": "SUITE 205",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585031",
"telephone_number": "516-731-3248",
"fax_number": "516-731-3248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO37069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.