Patricia Centamore, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-045256 Issued in NY

Practice address

62 Pearsall PL
Deer Park, NY 11729-2114

Phone

(631) 667-9102

Fax

(631) 854-2552

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

State University of New York at Stony Brook, School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Suffolk

  • Public Health or Welfare Agency
  • Great River, NY
  • NPI 1285750737
  Medicare reassignment NPD
• County of Suffolk

  • Methadone Clinic
  • Smithtown, NY
  • NPI 1649374851
  NPD
• Suffolk County Department of Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmingville, NY
  • NPI 1700989050
  NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174531396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PEARSALL PL",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292114",
            "telephone_number": "631-667-9102",
            "fax_number": "631-854-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 PEARSALL PL",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292114",
            "telephone_number": "631-667-9102",
            "fax_number": "631-854-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTAMORE",
        "first_name": "PATRICIA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-045256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE #",
            "identifier": "R-045256",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginamarie Casella
• Nancy Castillo
• Rosanne M Cebelenski, D.O.
• Celestin Medical Care PLLC
• Marie Florence Celestin, MD
• Yoon K Cha
• Charles S. Handelman, D.M.D., P.C.
• Barbara Charles, LPN
• Teresa Chen, ATC
• Taisha Marline Cherestal

• Clinical Social Worker in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.