Individual provider Active NPI

Corinne A Giuliani, LCSW

  • Clinical Social Worker
  • Massapequa Park, NY
National Provider Identifier
1174120273
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
417 Atlantic Ave
Massapequa Park, NY 11762-1337
Phone
(516) 810-8999
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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 Primary

Addresses

Primary practice location

417 Atlantic Ave
Massapequa Park, NY 11762-1337

Mailing address

417 Atlantic Ave
Massapequa Park, NY 11762-1337

Other names 1

  • Corinne Von Thaden Former 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
I20201204000118 NY Practitioner - Clinical Social Worker 3274944798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Erena Digonis LCSW PLLCGroup PAC ID 8426387416, 3 clinicians

Practice addresses (Care Compare)

926 S Country Rd
Bellport, NY 11713-2512
Phone (917) 750-4811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Erena Digonis LCSW PLLC CurrentSince Nov 1, 2020 Accepting new patients
Long Island Elder Care LCSW PLLC CurrentSince Oct 2, 2020 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Feb 1, 2021 Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

Organizations & group practices 3

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1174120273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 ATLANTIC AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 ATLANTIC AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621337",
            "telephone_number": "516-810-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIULIANI",
        "first_name": "CORINNE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "VON THADEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Massapequa Park, NY

Sources for this page

Verify at the official NPI Registry.