Individual provider Active NPI

Jay A Hart, LCSW

  • Clinical Social Worker
  • South Setauket, NY
National Provider Identifier
1225466550
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080259 Issued in NY
Practice address
3771 Nesconset Hwy Ste 107
South Setauket, NY 11720-1155
Phone
(631) 250-4141
NPI assigned
Oct 23, 2013
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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 080259 NY Primary

Addresses

Primary practice location

3771 Nesconset Hwy Ste 107
South Setauket, NY 11720-1155

Mailing address

91 Oak Ave
Shirley, NY 11967-1903
Phone (631) 645-4262

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
I20140617000322 NY Practitioner - Clinical Social Worker 5092939918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

91 Oak Ave
Shirley, NY 11967-1903
Phone (631) 645-4262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080259NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southshore Counseling Mediation and Licensed Clinical Social Work Serv Clinical CurrentSince Aug 29, 2019 Accepting new patients
Hart to Heart Clinical Counseling Services LCSW PC Clinical CurrentSince Aug 16, 2021 Accepting new patients

Locations

3771 Nesconset Hwy
Ste 107
South Setauket, NY 11720
Phone (631) 250-4141

Organizations & group practices 2

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1225466550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 OAK AVE",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671903",
            "telephone_number": "631-645-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY STE 107",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201155",
            "telephone_number": "631-250-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JAY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

Verify at the official NPI Registry.