Individual provider Active NPI

Mirna M Estevez-Molina, LCSW

  • Clinical Social Worker
  • Hempstead, NY
National Provider Identifier
1225336290
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081361-1 Issued in NY
Practice address
344 Fulton Ave
Hempstead, NY 11550-3923
Phone
(516) 538-2613
Fax
(516) 538-0772
NPI assigned
Mar 1, 2011
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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 081361-1 NY Primary

Addresses

Primary practice location

344 Fulton Ave
Hempstead, NY 11550-3923

Mailing address

499 Baldwin Ave
North Baldwin, NY 11510-2503
Phone (516) 705-0575

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
I20140519001383 NY Practitioner - Clinical Social Worker 8729201868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081361NYMDMental Health Counselor
081361-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Counseling Center, Inc CurrentSince Nov 21, 2013 Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 13, 2024 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Harmony Health Care Long Island CurrentSince Jan 13, 2024 Accepting new patients

Locations

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

344 Fulton Ave
Hempstead, NY 11550
Phone (516) 538-2613

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1225336290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 BALDWIN AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102503",
            "telephone_number": "516-705-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503923",
            "telephone_number": "516-538-2613",
            "fax_number": "516-538-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEVEZ-MOLINA",
        "first_name": "MIRNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081361-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.