Individual provider Active NPI

Nancy R. Deutsch, L.C.S.W.

  • Clinical Social Worker
  • Mineola, NY
National Provider Identifier
1073686457
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
035445 Issued in NY
Practice address
80 E Old Country Rd FL 2
Mineola, NY 11501-4612
Phone
(516) 637-2446
NPI assigned
Nov 15, 2006
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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 035445 NY Primary

Addresses

Primary practice location

80 E Old Country Rd FL 2
Mineola, NY 11501-4612

Mailing address

80 E Old Country Rd FL 2
Mineola, NY 11501-4612
Phone (516) 627-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 16, 2016 through Mar 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1073686457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E OLD COUNTRY RD FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014612",
            "telephone_number": "516-627-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E OLD COUNTRY RD FL 2",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014612",
            "telephone_number": "516-637-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "NANCY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "035445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.