Individual provider Active NPI

Irma Werfel, LCSW

  • Clinical Social Worker
  • Hicksville, NY
National Provider Identifier
1174517072
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSWR20109 Issued in NY
Practice address
120 Bethpage Rd
Suite 201
Hicksville, NY 11801-1515
Phone
(516) 935-3334
Fax
(516) 674-3556
NPI assigned
Sep 7, 2005
Sex
Female
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
Clinical Social Worker 1041C0700X LCSWR20109 NY Primary

Addresses

Primary practice location

120 Bethpage Rd
Suite 201
Hicksville, NY 11801-1515

Mailing address

120 Bethpage Rd
Suite 201
Hicksville, NY 11801-1515
Phone (516) 935-3334

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
I20100519000204 NY Practitioner - Clinical Social Worker 5698804342 Practice locations: Hicksville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 Bethpage Rd
Suite 201
Hicksville, NY 11801-1505
Phone (516) 935-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSWR20109NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174517072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "address_2": "SUITE 201",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-935-3334",
            "fax_number": "516-674-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE RD",
            "address_2": "SUITE 201",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011515",
            "telephone_number": "516-935-3334",
            "fax_number": "516-674-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERFEL",
        "first_name": "IRMA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "LCSWR20109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.