Individual provider Active NPI

Joy Fullhardt, LCSW

  • Clinical Social Worker
  • Garden City, NY
National Provider Identifier
1255955845
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074543 Issued in NY
Practice address
35 Prescott St
Garden City, NY 11530-1736
Phone
(516) 448-6455
NPI assigned
May 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220422001959 NY Practitioner - Clinical Social Worker 2466849351 Reassigns benefits to 1 organization
Practice locations: Garden City, NY

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
Rachel Lessard LCSW PCGroup PAC ID 9032517107, 9 clinicians

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Lessard LCSW PC Clinical CurrentSince Apr 1, 2022 Accepting new patients

Locations

520 Franklin Ave
Ste L1
Garden City, NY 11530
Phone (516) 515-0696

4160 Merrick Rd
Ste 5
Massapequa, NY 11758
Phone (631) 371-3825

1227 Main St
Ste 101
Prt Jefferson, NY 11777
Phone (631) 371-3825

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 and National Provider Directory roles.

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

Verify at the official NPI Registry.