Individual provider Active NPI

Debra A Viola, LMSW

  • Social Worker
  • Bay Shore, NY
National Provider Identifier
1295084911
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087267-1 Issued in NY
Practice address
1855 Union Blvd
Bay Shore, NY 11706-7949
Phone
(516) 297-1847
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 087267-1 NY Primary

Addresses

Primary practice location

1855 Union Blvd
Bay Shore, NY 11706-7949

Mailing address

90 Shelter LN
Levittown, NY 11756-1220
Phone (516) 697-1400

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
I20170406002825 NY Practitioner - Clinical Social Worker 4183900079 Practice locations: Levittown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

162 Ctr LN
Levittown, NY 11756-1007
Phone (516) 497-5745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087267-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Life Counseling Services. LCSW, P.C. CurrentSince Aug 11, 2019 Accepting new patients

Locations

164 Center Ln
Levittown, NY 11756
Phone (516) 297-0836

162 Center Ln
Levittown, NY 11756
Phone (516) 497-5745

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1295084911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 SHELTER LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561220",
            "telephone_number": "516-697-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067949",
            "telephone_number": "516-297-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLA",
        "first_name": "DEBRA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087267-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.