Individual provider Active NPI

Mitchell Slochower, L.C.S.W.

  • Mental Health Counselor
  • Lake Grove, NY
National Provider Identifier
1154462877
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW 035574 Issued in NY
Practice address
14 Woodstock PL
Lake Grove, NY 11755-2836
Phone
(631) 467-5591
Fax
(631) 467-5591
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

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
Mental Health Counselor 101YM0800X LCSW 035574 NY Primary

Addresses

Primary practice location

14 Woodstock PL
Lake Grove, NY 11755-2836

Mailing address

14 Woodstock PL
Lake Grove, NY 11755-2836
Phone (631) 467-5591

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
I20180108002616 NY Practitioner - Clinical Social Worker 0345509840 Practice locations: Lake Grove, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14 Woodstock PL
Lake Grove, NY 11755-2836
Phone (631) 467-5591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 035574NYMDMental Health Counselor
035574NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154462877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODSTOCK PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552836",
            "telephone_number": "631-467-5591",
            "fax_number": "631-467-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODSTOCK PL",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552836",
            "telephone_number": "631-467-5591",
            "fax_number": "631-467-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCHOWER",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "LCSW 035574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

Verify at the official NPI Registry.