Individual provider Active NPI

Claudette V. Duff, L.C.S.W.

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1215098280
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071171 Issued in NY
Practice address
2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145
Phone
(718) 494-2858
Fax
(718) 494-5749
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 071171 NY Primary

Addresses

Primary practice location

2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145

Mailing address

2381 Hylan Blvd Ste 13
Staten Island, NY 10306-3145
Phone (718) 494-2858

Other identifiers 2

IdentifierTypeStateIssuer
03982583MedicaidNY
02561237MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040913000980 NY Practitioner - Clinical Social Worker 9537136247 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Social Work Services LLC Clinical CurrentSince May 18, 2004 Accepting new patients
Out of the Storm Senior Services Inc. Clinical Current Accepting new patients
Aging Well RN NP Family Health PLLC Current Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

2381 Hylan Blvd
Ste 13
Staten Island, NY 10306
Phone (718) 494-2858

1110 South Ave
Ste 404
Staten Island, NY 10314
Phone (718) 494-2858

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1215098280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 HYLAN BLVD STE 13",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063145",
            "telephone_number": "718-494-2858",
            "fax_number": "718-494-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2381 HYLAN BLVD STE 13",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063145",
            "telephone_number": "718-494-2858",
            "fax_number": "718-494-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "CLAUDETTE",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03982583",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02561237",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.