Individual provider Active NPI

Lynne G Slovin, LCSW

  • Clinical Social Worker
  • Bohemia, NY
National Provider Identifier
1255717252
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073101 Issued in NY
Practice address
700 Lakeland Avenue
Ste. 1C
Bohemia, NY 11716
Phone
(516) 810-5690
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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 073101 NY Primary

Addresses

Primary practice location

700 Lakeland Avenue
Ste. 1C
Bohemia, NY 11716

Mailing address

63 Admirals Dr E
Bay Shore, NY 11706-8100
Phone (516) 810-5690

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
I20210304001175 NY Practitioner - Clinical Social Worker 8022424761 Practice locations: Bohemia, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Lakeland Ave
Bohemia, NY 11716-3936
Phone (516) 810-5690

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073101NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Social Work for Counseling for Inspirational Living LCSW PC Past Accepting new patients
Lynne Slovin PastSince Nov 19, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1255717252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ADMIRALS DR E",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068100",
            "telephone_number": "516-810-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKELAND AVENUE",
            "address_2": "STE. 1C",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "11716",
            "telephone_number": "516-810-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVIN",
        "first_name": "LYNNE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

Verify at the official NPI Registry.