Active NPI
Stephen James Deorio, PH. D. LCSW
- Clinical Social Worker
- Mineola, NY
National Provider Identifier
1194010132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73 039872
- Practice address
- 101 Lincoln Ave Apt 4M
Mineola, NY 11501-2821 - Phone
- (516) 662-6053
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 73 039872 | NY | Primary |
Addresses
Primary practice location
101 Lincoln Ave Apt 4M
Mineola, NY 11501-2821
Mailing address
101 Lincoln Ave Apt 4M
Mineola, NY 11501-2821
Phone (516) 662-6053
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
| License | State | Type | Specialty |
|---|---|---|---|
| 73 039872 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1194010132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LINCOLN AVE APT 4M",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012821",
"telephone_number": "516-662-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LINCOLN AVE APT 4M",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115012821",
"telephone_number": "516-662-6053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEORIO",
"first_name": "STEPHEN",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH. D. LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73 039872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.