Individual provider Active NPI

Paula Gonthier, LCSW

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1265045256
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
496 Smithtown Byp Ste 203
Smithtown, NY 11787-5011
Phone
(631) 371-3825
Fax
(631) 382-8250
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 Primary

Addresses

Primary practice location

496 Smithtown Byp Ste 203
Smithtown, NY 11787-5011

Mailing address

42 Woodland Rd
Glen Head, NY 11545-2318
Phone (516) 448-1101

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
I20220510002047 NY Practitioner - Clinical Social Worker 1254718323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
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

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1265045256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 WOODLAND RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452318",
            "telephone_number": "516-448-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP STE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875011",
            "telephone_number": "631-371-3825",
            "fax_number": "631-382-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONTHIER",
        "first_name": "PAULA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.