Active NPI
Megan Paniccia LCSW PC
- Clinical Social Worker
- Islandia, NY
National Provider Identifier
1194319210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MEGAN PANICCIA LCSW PC
- Practice address
- 1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555 - Phone
- (631) 212-2405
- NPI assigned
- Mar 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Paniccia
- Title
- Owner
- Phone
- (631) 212-2405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555
Mailing address
1777 Veterans Memorial Hwy Ste 14
Islandia, NY 11749-1555
Phone (631) 212-2405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1777 Veterans Memorial Hwy
Ste 6
Islandia, NY 11749
Phone (631) 212-2405
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Bay Shore, NY
- NPI 1134507304
-
- Mental Health Counselor
- Islandia, NY
- NPI 1548913684
-
- Social Worker
- Smithtown, NY
- NPI 1265016083
-
- Clinical Social Worker
- Islandia, NY
- NPI 1730834508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1194319210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 VETERANS MEMORIAL HWY STE 14",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491555",
"telephone_number": "631-212-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 VETERANS MEMORIAL HWY STE 14",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117491555",
"telephone_number": "631-212-2405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEGAN PANICCIA LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "PANICCIA",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-212-2405"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Islandia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.