Carolyn Jeanne Farella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075828 Issued in NY

Practice address

191 Broadway
Amityville, NY 11701-2790

Phone

(516) 526-0285

NPI assigned

Oct 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Child Association IncorporatedGroup PAC ID 0648550822, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Shore Child Association Incorporated

  dba South Shore Guidance Center

  • Community/Behavioral Health Agency
  • Freeport, NY
  • NPI 1023154507
  Medicare reassignment Care Compare group
• Epic Long Island

  • Voluntary or Charitable Agency
  • East Meadow, NY
  • NPI 1174563936
  Medicare reassignment NPD
• Epilepsy Foundation of L.I.

  dba E.P.I.C. Clinical Care

  • Voluntary or Charitable Agency
  • Garden City, NY
  • NPI 1467755785
  NPD

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1255321741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 EUCLID AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622147",
            "telephone_number": "516-526-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012790",
            "telephone_number": "516-526-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARELLA",
        "first_name": "CAROLYN",
        "middle_name": "JEANNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Falconi, R.N.
• Falcum Service Inc
• Family Medical Practice of Long Island P.C.
• Lauren Fanwick, LMHC, NCC
• Kacey Farber, LMSW
• Barbara Farrell, NP
• Cristina Farrington
• June Arlene Feinstein, N.P.
• Marissa Felder, LMHC, NCC, CIMHP
• Kristyne Michelle Fenton, SLP

• Clinical Social Worker in Amityville, NY
• Providers in Amityville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.