Elaine Klein, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076236 Issued in NY

Practice address

151 Burrs LN
Dix Hills, NY 11746-6052

Phone

(631) 643-8800

Fax

(631) 491-4440

NPI assigned

Jun 23, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sco Family of ServicesGroup PAC ID 1850283722, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sco Family of Services Dba Madonna Heights Service Clinic

  • Physical Disabilities Residential Treatment Facility
  • Garden City, NY
  • NPI 1992801062
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1275794174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WHITEWOOD DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117624045",
            "telephone_number": "516-799-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BURRS LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466052",
            "telephone_number": "631-643-8800",
            "fax_number": "631-491-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ELAINE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kisit LLC
• Dana Klag
• Alexis Briana Kleet, OTR/L
• Bonnie R Klein, SLP
• Dena Melissa Klein, L.P.N.
• Stacy Cara Klein, LCSW
• David Knapp, RN
• Amy I Kobak, PT
• Carole E Koetzle, LCSW
• Diana Konsky, MS.ED

• Clinical Social Worker in Dix Hills, NY
• Providers in Dix Hills, 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 Jun 23, 2008; 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.

Verify at the official NPI Registry.