Individual provider Active NPI

Doreen L Plante, LCSW

  • Clinical Social Worker
  • Long Beach, NY
National Provider Identifier
1124297171
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027383-1 Issued in NY
Practice address
64 W Park Ave
Long Beach, NY 11561-2044
Phone
(516) 305-7922
Fax
(516) 608-0383
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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 R027383-1 NY Primary

Addresses

Primary practice location

64 W Park Ave
Long Beach, NY 11561-2044

Mailing address

64 W Park Ave
Long Beach, NY 11561-2044
Phone (516) 305-7922

Other names 1

  • Doreen L Zumpano Other name

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
I20141029000644 NY Practitioner - Clinical Social Worker 8628299021 Practice locations: Long Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

64 W Park Ave
Long Beach, NY 11561-2044
Phone (516) 305-7922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027383-1NYMDClinical Social Worker
027383NYMDMassage Therapist

Networks

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1124297171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612044",
            "telephone_number": "516-305-7922",
            "fax_number": "516-608-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612044",
            "telephone_number": "516-305-7922",
            "fax_number": "516-608-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTE",
        "first_name": "DOREEN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOREEN",
            "last_name": "ZUMPANO",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.