Active NPI
Lauren Elizabeth Devito, LCSW
- Clinical Social Worker
- Rockville Centre, NY
National Provider Identifier
1114534740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088010
- Practice address
- 165 N Village Ave
Rockville Centre, NY 11570-3761 - Phone
- (516) 594-0247
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088010 | NY | Primary |
Addresses
Primary practice location
165 N Village Ave
Rockville Centre, NY 11570-3761
Mailing address
327 Riviera Pkwy
Lindenhurst, NY 11757-6322
Phone (516) 312-2533
Other practice location 1
98120 Queens Blvd
Rego Park, NY 11374-4357
Phone (718) 830-0246
Other practice location 2
1234 W Broadway
Hewlett, NY 11557-1929
Phone (516) 594-0247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088010 | Other | NY | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088010 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Clinical | Past | Accepting new patients |
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": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1114534740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 RIVIERA PKWY",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117576322",
"telephone_number": "516-312-2533",
"fax_number": "516-493-4088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-594-0247"
}
],
"practiceLocations": [
{
"address_1": "98120 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Rego Park",
"state": "NY",
"postal_code": "113744357",
"country_code": "US",
"telephone_number": "718-830-0246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1234 W Broadway",
"address_purpose": "LOCATION",
"city": "Hewlett",
"state": "NY",
"postal_code": "115571929",
"country_code": "US",
"telephone_number": "516-594-0247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVITO",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "088010",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.