Individual provider Active NPI

Deborah Weiss, LCSW

  • Clinical Social Worker
  • Massapequa, NY
National Provider Identifier
1093136228
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088430 Issued in NY
Practice address
5550 Merrick Rd Ste 300
Massapequa, NY 11758-6238
Phone
(631) 673-3233
NPI assigned
Dec 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 088430 NY Primary

Addresses

Primary practice location

5550 Merrick Rd Ste 300
Massapequa, NY 11758-6238

Mailing address

16 Main St
Hempstead, NY 11550-4020
Phone (516) 489-2322

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
I20210331002171 NY Practitioner - Clinical Social Worker 8426465808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Priyadarshan Bajpayi MD PCGroup PAC ID 6608118179, 13 clinicians

Practice addresses (Care Compare)

5550 Merrick Rd
Massapequa, NY 11758-6238
Phone (631) 673-3233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088430NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Priyadarshan Bajpayi, M.D. PC CurrentSince Dec 15, 2020 Accepting new patients

Locations

5550 Merrick Rd
Ste 300
Massapequa, NY 11758
Phone (631) 673-3233

5550 Merrick Rd
Massapequa, NY 11758
Phone (631) 673-3233

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1093136228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAIN ST",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115504020",
            "telephone_number": "516-489-2322",
            "fax_number": "516-485-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 MERRICK RD STE 300",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586238",
            "telephone_number": "631-673-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DEBORAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.