Lorna Bosak, LCSW
Individual provider Active NPI Clinical Social Worker · Saint James, NY
NPI 1215078613 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1215078613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P055152 (NY)
- Practice address
- 550 N Country Rd Ste F
Saint James, NY 11780-1429 - Phone
- (631) 928-4815
- Fax
- (631) 928-4817
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 27, 2023 through Nov 27, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P055152 | NY | MD | Clinical Social Worker |
| PO055152 | NY | MD | Clinical Social Worker |
| 055152 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Da Vinci Education & Research | Current |
Accepting new patients | |
| Davinci Therapy Services, LCSW, PLLC | Clinical | Current |
Accepting new patients |
Locations
550 N Country Rd
Ste E
Saint James, NY 11780
Phone (631) 928-4815
550 N Country Rd
Ste F
Saint James, NY 11780
Phone (631) 928-4815
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PO055152 | NY | |
| Clinical Social Worker | 1041C0700X | P055152 | NY | Yes |
Addresses
Primary practice location
550 N Country Rd Ste F
Saint James, NY 11780-1429
Mailing address
550 N Country Rd Ste F
Saint James, NY 11780-1429
Phone (631) 928-4815
Other providers in Saint James, NY
- Laura Bikowski
- Amy E Biondi
- Jason Bleecher
- Kaitlin Bogart
- Katherine Bortin
- Edward C Brant
- Gianina Broillet
- Michael Brooks
- Michelle Brucella
- Karen Burgess
All providers in Saint James, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.