Psychotherapy at Home, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PSYCHOTHERAPY AT HOME, LCSW, PLLC

Practice address

326 Sea Cliff St
Islip Terrace, NY 11752-1109

Phone

(516) 302-5645

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Dana J Legrande, LCSWNPI 1326364084

Title

Owner

Phone

(516) 302-5645

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana J Legrande, LCSW

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1326364084
  Medicare reassignment NPD Authorized official
• Marisel Lopez, LMSW

  • Social Worker
  • Amityville, NY
  • NPI 1063956993
  Medicare reassignment NPD
• Mary Robyn Hall, LCSW

  • Clinical Social Worker
  • Knightdale, NC
  • NPI 1629635537

  NY

  Medicare reassignment NPD
• Agnes Edith Lamin

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1609729508
  NPD (past)

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1255898342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FULTON ST APT M3",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353447",
            "telephone_number": "516-302-5645",
            "fax_number": "631-647-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SEA CLIFF ST",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117521109",
            "telephone_number": "516-302-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY AT HOME, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "LEGRANDE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-302-5645",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03461263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Gay Passalacqua, RN
• Sweta Patel, PHARMD.
• Regina Pinzon, RN
• Prakashchandra Parikh Physician PC
• Prakashchandra Parikh Physician PC
• Paige Noelle Racalbuto
• Eric James Rauscher, MSED
• Susan Raynock
• Patricia Reddy, L.AC
• Deanna Reynolds

• Clinical Social Worker in Islip Terrace, NY
• Providers in Islip Terrace, 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 Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.