Individual provider Active NPI

Mireille Zarin, DSW

  • Clinical Social Worker
  • Roslyn Heights, NY
National Provider Identifier
1245383041
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR018834 Issued in NY
Practice address
70 Glen Cove Road
Suite 201
Roslyn Heights, NY 11577-1730
Phone
(516) 621-1263
Fax
(516) 621-1263
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR018834 NY Primary

Addresses

Primary practice location

70 Glen Cove Road
Suite 201
Roslyn Heights, NY 11577-1730

Mailing address

70 Glen Cove Road
Suite 201
Roslyn Heights, NY 11577-1730
Phone (516) 621-1263

Other identifiers 2

IdentifierTypeStateIssuer
0023492GHIOtherNYGHI
01594985MedicaidNY

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
I20090818000581 NY Practitioner - Clinical Social Worker 7214081793 Practice locations: Roslyn Heights, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 S Service Rd
Suite 107
Roslyn Heights, NY 11577-2133
Phone (516) 621-1263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR018834NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245383041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE ROAD",
            "address_2": "SUITE 201",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771730",
            "telephone_number": "516-621-1263",
            "fax_number": "516-621-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE ROAD",
            "address_2": "SUITE 201",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771730",
            "telephone_number": "516-621-1263",
            "fax_number": "516-621-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARIN",
        "first_name": "MIREILLE",
        "name_prefix": "Dr.",
        "credential": "DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR018834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0023492GHI",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01594985",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.