Individual provider Active NPI

Estee Sarah Cohen Laub, LCSW

  • Clinical Social Worker
  • Stony Brook, NY
National Provider Identifier
1124153168
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0364241 Issued in NY
Practice address
24 Sedgewick LN
Stony Brook, NY 11790-3106
Phone
(631) 689-9365
Fax
(631) 757-3929
NPI assigned
Feb 22, 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 0364241 NY Primary

Addresses

Primary practice location

24 Sedgewick LN
Stony Brook, NY 11790-3106

Mailing address

24 Sedgewick Lane
Stony Brook, NY 11790
Phone (631) 689-9365

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
I20070630000079 NY Practitioner - Clinical Social Worker 2567561616 Practice locations: Stony Brook, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24 Sedgewick LN
Stony Brook, NY 11790-3106
Phone (631) 689-9365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0364241NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124153168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SEDGEWICK LANE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-9365",
            "fax_number": "631-757-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SEDGEWICK LN",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903106",
            "telephone_number": "631-689-9365",
            "fax_number": "631-757-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN LAUB",
        "first_name": "ESTEE",
        "middle_name": "SARAH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0364241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.