Alisa G Norton, LCSW

Individual provider Active NPI Clinical Social Worker · Remsenburg, NY

NPI 1275879728 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1275879728
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
084853-1 (NY)
Practice address
42 Mill Road
Remsenburg, NY 11960
Phone
(516) 523-7072
Fax
(631) 207-0496
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Alisa Norton Counseling Services
42 Mill Road
Remsenburg, NY 11960-0818

PO Box
Suite 818
Remsenburg, NY 11960-0818
Phone (516) 523-7072

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171031000258 NY Practitioner - Clinical Social Worker 8325314701 Practice locations: Remsenburg, NY

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
084853NYMDMental Health Counselor
084853-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brookhaven Memorial Hospital Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 084853-1 NY Yes

Addresses

Primary practice location

42 Mill Road
Remsenburg, NY 11960

Mailing address

P.O. Box 818
42 Mill Road
Remsenburg, NY 11960
Phone (516) 523-7072

Other practice location 1

350 Martha Ave.
Bellport, NY 11713
Phone (631) 286-6544

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275879728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 818",
            "address_2": "42 MILL ROAD",
            "city": "REMSENBURG",
            "state": "NY",
            "postal_code": "11960",
            "telephone_number": "516-523-7072",
            "fax_number": "631-207-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 MILL ROAD",
            "city": "REMSENBURG",
            "state": "NY",
            "postal_code": "11960",
            "telephone_number": "516-523-7072",
            "fax_number": "631-207-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Martha Ave.",
            "address_purpose": "LOCATION",
            "city": "Bellport",
            "state": "NY",
            "postal_code": "11713",
            "country_code": "US",
            "telephone_number": "631-286-6544",
            "fax_number": "631-286-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTON",
        "first_name": "ALISA",
        "middle_name": "G",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084853-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Remsenburg, NY

All providers in Remsenburg, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.