Individual provider Active NPI

Stephanie Coiro, LCSW

  • Clinical Social Worker
  • New Hyde Park, NY
National Provider Identifier
1124392691
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085504-1 Issued in NY
Practice address
410 Lakeville Rd Ste 100
New Hyde Park, NY 11042-1102
Phone
(516) 622-5195
NPI assigned
Mar 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 085504-1 NY Primary

Addresses

Primary practice location

410 Lakeville Rd Ste 100
New Hyde Park, NY 11042-1102

Mailing address

939 Grant PL
North Bellmore, NY 11710-1012
Phone (631) 275-2560

Other practice location 1

12 Seaspray Ln
West Islip, NY 11795-4516
Phone (631) 275-2560

Other practice location 2

506A Stewart Ave
Garden City, NY 11530-4706
Phone (516) 705-3400 ext. 3208

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
I20151209000787 NY Practitioner - Clinical Social Worker 6507167939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

410 Lakeville Rd
New Hyde Park, NY 10901-4846
Phone (845) 368-5000

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085504-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Current Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 11, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 11, 2021 Accepting new patients
New Horizon Counseling Center Inc CurrentSince Oct 7, 2015 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2021 Accepting new patients
Mercy Medical Center CurrentSince Feb 1, 2021 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

245 Old Country Rd
Melville, NY 11747
Phone (631) 465-6141

410 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 465-3270

300 Community Dr
Plandome, NY 11030

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

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

Networks

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

Organizations & group practices 6

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1124392691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 GRANT PL",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117101012",
            "telephone_number": "631-275-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 100",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421102",
            "telephone_number": "516-622-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Seaspray Ln",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954516",
            "country_code": "US",
            "telephone_number": "631-275-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506A Stewart Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115304706",
            "country_code": "US",
            "telephone_number": "516-705-3400 x3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COIRO",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2021-09-17",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085504-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.