NPIMap

Individual provider Active NPI

Kelly Ann Rumm, LMSW

  • Social Worker
  • Central Islip, NY
National Provider Identifier
1154696102
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
077182 Issued in NY
Practice address
159 Brightside Ave
Central Islip, NY 11722-2710
Phone
(631) 234-1925
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 077182 NY Primary

Addresses

Primary practice location

159 Brightside Ave
Central Islip, NY 11722-2710

Mailing address

PO Box 1179
Central Islip, NY 11722-0950
Phone (631) 234-1925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
077182NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hands Across Long Island, Inc PastSince May 1, 2007 Accepting new patients
Hands Across Long Island, Incorporated Past Accepting new patients

Organizations & group practices 2

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1154696102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117220950",
            "telephone_number": "631-234-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 BRIGHTSIDE AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222710",
            "telephone_number": "631-234-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMM",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.