Individual provider Active NPI

Clara I. Rodis, LCSW

  • Clinical Social Worker
  • Hempstead, NY
National Provider Identifier
1295067130
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080518 Issued in NY
Practice address
344 Fulton Ave
Hempstead, NY 11550
Phone
(516) 538-2613
Fax
(516) 538-0772
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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 080518 NY Primary

Addresses

Primary practice location

344 Fulton Ave
Hempstead, NY 11550

Mailing address

344 Fulton Ave
Hempstead, NY 11550-3923
Phone (516) 538-2613

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
I20140402001679 NY Practitioner - Clinical Social Worker 5597996629 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080518NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Counseling Center, Inc CurrentSince Feb 19, 2017 Accepting new patients
Genoa Healthcare LLC Past Accepting new patients
Ronald Villano Mental Health Counselor, PLLC Past Accepting new patients

Locations

344 Fulton Ave
Hempstead, NY 11550
Phone (516) 538-2613

Organizations & group practices 4

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": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1295067130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503923",
            "telephone_number": "516-538-2613",
            "fax_number": "516-538-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-538-2613",
            "fax_number": "516-538-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODIS",
        "first_name": "CLARA",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.