Individual provider Active NPI

Luann Mongiello Esen, LCSW BCD

  • Clinical Social Worker
  • Centereach, NY
National Provider Identifier
1114053543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0528361 Issued in NY
Practice address
3771 Nesconset Hwy
Suite 208a
Centereach, NY 11720
Phone
(631) 428-3019
Fax
(631) 929-0182
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0528361 NY Primary

Addresses

Primary practice location

3771 Nesconset Hwy
Suite 208a
Centereach, NY 11720

Mailing address

245 Hidden Pond Path
Wading River, NY 11792
Phone (631) 428-3019

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
I20110124000412 NY Practitioner - Clinical Social Worker 7810176823 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Laura E Asner CSW PCGroup PAC ID 3577525740, 6 clinicians

Practice addresses (Care Compare)

260 W Main St
Suite 8
Bay Shore, NY 11706-8322
Phone (631) 647-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0528361NYMDClinical Social Worker
052836NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Nov 1, 2022 Accepting new patients
Supportive Care Psychology of Ny PC CurrentSince Feb 1, 2021 Accepting new patients
Laura E Asner CSW PC Clinical CurrentSince Aug 3, 2023 Accepting new patients
Sunrise Counseling Center,LTD Clinical CurrentSince Jan 1, 2023 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

260 W Main St
Ste 8
Bay Shore, NY 11706
Phone (631) 647-9009

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

7810 164th St
Fresh Meadows, NY 11366
Phone (718) 429-2200

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

330 Chestnut St
Oneonta, NY 13820
Phone (607) 432-8500

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Organizations & group practices 4

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114053543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HIDDEN POND PATH",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "11792",
            "telephone_number": "631-428-3019",
            "fax_number": "631-929-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 208A",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "11720",
            "telephone_number": "631-428-3019",
            "fax_number": "631-929-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESEN",
        "first_name": "LUANN",
        "middle_name": "MONGIELLO",
        "name_prefix": "Mrs.",
        "credential": "LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0528361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

Verify at the official NPI Registry.