Individual provider Active NPI

Antonia Francesca Porco, LCS C AS AC

  • Addiction (Substance Use Disorder) Counselor
  • Northport, NY
National Provider Identifier
1235181520
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
6478 Issued in NY
Practice address
256 Main Street
Northport, NY 11768
Phone
(631) 431-1449
Fax
(631) 979-6067
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6478 NY Primary
Clinical Social Worker 1041C0700X RO403101 NY

Addresses

Primary practice location

256 Main Street
Northport, NY 11768

Mailing address

43 Hawthorne Road
Kings Park, NY 11754
Phone (631) 431-1449

Other identifiers 2

IdentifierTypeStateIssuer
02486744MedicaidNY
P3597425OtherNYOXFORD

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
I20050614000004 NY Practitioner - Clinical Social Worker 3870537616 Practice locations: Northport, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

256 Main St
Suite 1101
Northport, NY 11768-1733
Phone (631) 431-1449

256 Main St
Suite 1101
Northport, NY 11768-1747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Science

State licenses

LicenseStateTypeSpecialty
6478NYMDAddiction (Substance Use Disorder) Counselor
RO403101NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Children'S Association - Linkage Past Accepting new patients

Organizations & group practices 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235181520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HAWTHORNE ROAD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-431-1449",
            "fax_number": "631-979-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 MAIN STREET",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "11768",
            "telephone_number": "631-431-1449",
            "fax_number": "631-979-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCO",
        "first_name": "ANTONIA",
        "middle_name": "FRANCESCA",
        "name_prefix": "Ms.",
        "credential": "LCS C AS AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "6478",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO403101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02486744",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3597425",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.