Individual provider Active NPI

Dagmara Halyno, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1275717159
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
72 075149 Issued in NY
Practice address
1 Gustave L Levy Place
Box 1057- Mount Sinai Hospital
New York, NY 10029-6574
Phone
(212) 241-7397
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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 72 075149 NY Primary

Addresses

Primary practice location

1 Gustave L Levy Place
Box 1057- Mount Sinai Hospital
New York, NY 10029-6574

Mailing address

1 Gustave L Levy Place
Box 1057- Mount Sinai Hospital
New York, NY 10029-6574
Phone (212) 241-7397

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
I20131009000009 NY Practitioner - Clinical Social Worker 2860626769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Mark'S Place Institute for Mental Health IncGroup PAC ID 4688565740, 17 clinicians

Practice addresses (Care Compare)

57 Saint Marks PL
New York, NY 10003-7902
Phone (212) 982-3470

57 St Mark'S Place
New York, NY 10003-7902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72 075149NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mark'S Place Institute for Mental Health, Inc CurrentSince Jul 19, 2013 Accepting new patients

Locations

57 Saint Marks Pl
New York, NY 10003
Phone (212) 982-3470

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1275717159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PLACE",
            "address_2": "BOX 1057- MOUNT SINAI HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PLACE",
            "address_2": "BOX 1057- MOUNT SINAI HOSPITAL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296574",
            "telephone_number": "212-241-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALYNO",
        "first_name": "DAGMARA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "72 075149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.