Individual provider Active NPI

Phyllis D. Schalet, LCSW

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1083671937
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R033615-1 Issued in NY
Practice address
10 Grace Ave
Suite 8
Great Neck, NY 11021-2423
Phone
(516) 829-3747
Fax
(516) 482-3683
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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 R033615-1 NY Primary

Addresses

Primary practice location

10 Grace Ave
Suite 8
Great Neck, NY 11021-2423

Mailing address

10 Grace Ave
Suite 8
Great Neck, NY 11021-2423
Phone (516) 829-3747

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
I20110427000265 NY Practitioner - Clinical Social Worker 6901081496 Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Grace Ave
Suite 12
Great Neck, NY 11021-2423
Phone (516) 829-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R033615-1NYMDClinical Social Worker
033615NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1083671937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRACE AVE",
            "address_2": "SUITE 8",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212423",
            "telephone_number": "516-829-3747",
            "fax_number": "516-482-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRACE AVE",
            "address_2": "SUITE 8",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212423",
            "telephone_number": "516-829-3747",
            "fax_number": "516-482-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALET",
        "first_name": "PHYLLIS",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033615-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.