Dominick Scalise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R043521-1 Issued in NY

Practice address

35 Crooked Hill Rd
Commack, NY 11725-5415

Phone

(631) 835-6288

NPI assigned

Feb 11, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Options Systems LCSW LLP

  • Clinical Social Worker
  • Stony Brook, NY
  • NPI 1811905292
  NPD (past)
• Senior Options Systems LLP

  • Clinical Social Worker
  • Stony Brook, NY
  • NPI 1467445098
  NPD (past)

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083755078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MIDDLETON RD APT 16",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117163919",
            "telephone_number": "631-835-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CROOKED HILL RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255415",
            "telephone_number": "631-835-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALISE",
        "first_name": "DOMINICK",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043521-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02425255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Savino
• Devyn Savitsky, PHD, MHC-LP
• John Joseph Savoca, MTH
• SB Psychiatric Services PLLC
• Josephine Mary Scalfani, RN
• Patricia Scalise, DTR
• Christopher Scarallo, LMHC
• Nancy L Scavin, PT
• Scelza Family Chiropractic
• Mark A Scelza, D.C.

• Clinical Social Worker in Commack, NY
• Providers in Commack, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.