Yelena Shik, R LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P 060751-1 Issued in NY

Practice address

6080 Jericho Tpke
Suite 304
Commack, NY 11725-2850

Phone

(631) 374-5668

Fax

(631) 499-1163

NPI assigned

Jul 12, 2006

Sex

Female

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

Other names 1

• Yelena Mazler Former name

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

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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.

• Juliana Kanji Psychiatric Services, PC

  • Neurology Physician
  • Huntington, NY
  • NPI 1053405001
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1093740508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HEDGEROW LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252733",
            "telephone_number": "631-374-5668",
            "fax_number": "631-493-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 JERICHO TPKE",
            "address_2": "SUITE 304",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252850",
            "telephone_number": "631-374-5668",
            "fax_number": "631-499-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIK",
        "first_name": "YELENA",
        "name_prefix": "Mrs.",
        "credential": "R LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P 060751-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YELENA",
            "last_name": "MAZLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erin Sheehan, MS, OTR/L
• Janice Shen
• Michael D. Sherer, PSY.D.
• Brianna Sherwood, PA-C
• Denise Shield, PT
• Samra Shoaib, MD
• Shoprite of Commack LLC
• Gary Shoykhet, MR.
• Sara-Anne Sichler
• Julianne Sicker, B.S, BSOT, M.S.O.T

• 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 7, 2015; 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.