Active NPI
Miriam Domingo Schmitt, MSSW
- Clinical Social Worker
- Elmont, NY
National Provider Identifier
1285707364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R004340-1
- Practice address
- 570 Elmont Rd
Elmont, NY 11003-3535 - Phone
- (516) 437-6050
- Fax
- (516) 437-6304
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R004340-1 | NY | Primary |
Addresses
Primary practice location
570 Elmont Rd
Elmont, NY 11003-3535
Mailing address
570 Elmont Rd
Elmont, NY 11003-3535
Phone (516) 437-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01666971 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R004340-1 | NY | MD | Clinical Social Worker |
| 004340 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Children'S Association - Linkage | Past | Accepting new patients |
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.
-
- Mental Health Counselor
- Garden City, NY
- NPI 1164187449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285707364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 ELMONT RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033535",
"telephone_number": "516-437-6050",
"fax_number": "516-437-6304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 ELMONT RD",
"city": "ELMONT",
"state": "NY",
"postal_code": "110033535",
"telephone_number": "516-437-6050",
"fax_number": "516-437-6304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO SCHMITT",
"first_name": "MIRIAM",
"credential": "MSSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R004340-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01666971",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.