Individual provider Active NPI

Sheila Bialek Felberbaum, LCSW

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1073665956
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO36602 1 Issued in NY
Practice address
70 Lawrence Ave
Smithtown, NY 11787-3607
Phone
(631) 273-8824
Fax
(631) 273-8271
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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 RO36602 1 NY Primary

Addresses

Primary practice location

70 Lawrence Ave
Smithtown, NY 11787-3607

Mailing address

31 Hamlet Dr
Hauppauge, NY 11788-3340
Phone (631) 273-8824

Other identifiers 3

IdentifierTypeStateIssuer
P2910139OtherNYOXFORD
179151OtherNYMHN
7488629OtherNYGHI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO36602 1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1073665956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HAMLET DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883340",
            "telephone_number": "631-273-8824",
            "fax_number": "631-273-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LAWRENCE AVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873607",
            "telephone_number": "631-273-8824",
            "fax_number": "631-273-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELBERBAUM",
        "first_name": "SHEILA",
        "middle_name": "BIALEK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO36602 1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2910139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "179151",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7488629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.