Organization Active NPI

Megan Paniccia LCSW PC

  • Clinical Social Worker
  • Islandia, NY
National Provider Identifier
1194319210
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Megan PanicciaNPI 1134507304
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250113002083 NY Part B Supplier - Clinic/Group Practice 5698203040 Receives reassigned benefits from 2 practitioners
Practice locations: Islandia, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.