Active NPI
Joy Fullhardt, LCSW
- Clinical Social Worker
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 074543
- Practice address
- 35 Prescott St
Garden City, NY 11530-1736 - Phone
- (516) 448-6455
- NPI assigned
- May 30, 2020
- Last updated
- May 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 074543 | NY | Primary |
Addresses
Primary practice location
35 Prescott St
Garden City, NY 11530-1736
Mailing address
35 Prescott St
Garden City, NY 11530-1736
Phone (516) 448-6455
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
496 Smithtown Byp
Suite 203
Smithtown, NY 11787-5011
Phone (516) 404-7337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074543 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rachel Lessard LCSW PC | Clinical | Current | Accepting new patients |
Locations
520 Franklin Ave
Ste L1
Garden City, NY 11530
Phone (516) 366-1094
4160 Merrick Rd
Ste 5
Massapequa, NY 11758
Phone (631) 615-1732
1227 Main St
Ste 101
Prt Jefferson, NY 11777
Phone (631) 606-6173
496 Smithtown Byp
Ste 203
Smithtown, NY 11787
Phone (516) 404-7337
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590796800000",
"number": "1255955845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PRESCOTT ST",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301736",
"telephone_number": "516-448-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 PRESCOTT ST",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301736",
"telephone_number": "516-448-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLHARDT",
"first_name": "JOY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-30",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "074543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.