Janet E. Weisberg, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069868-1 Issued in NY

Practice address

4 Phyllis Dr
Suite a-1
East Patchogue, NY 11772-2900

Phone

(631) 654-1560

Fax

(631) 654-1560

NPI assigned

Jul 7, 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

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

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

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114950011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BLUEBERRY LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724631",
            "telephone_number": "516-662-5361",
            "fax_number": "631-654-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PHYLLIS DR",
            "address_2": "SUITE A-1",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117722900",
            "telephone_number": "631-654-1560",
            "fax_number": "631-654-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBERG",
        "first_name": "JANET",
        "middle_name": "E.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069868-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02608991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Wanukovich
• Duncan N Watston, LPN
• Keith Weber
• Kristin Weeks
• Jonathan Weinstein, DO
• Melissa A Welch, P.T.
• Ross Edward Weller, M.D.
• Wexler & Lengyel-Kremenic MD PC (Diabetes and Endocrinology Center of Suffolk)
• Laura D. Wilk, PA-C
• William James Friedel DDS P.C. (William Friedel DDS P.C.)

• Clinical Social Worker in East Patchogue, NY
• Providers in East Patchogue, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.