Patricia Jean Demeroto

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20865 Issued in AZ

Practice address

76 Argyle Dr
Shirley, NY 11967-4302

Phone

(520) 256-8705

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

Yes

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 AZ

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

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 and National Provider Directory roles.

• Community Bridges, Inc.

  dba CBI - Encompass Page Integrated Health Home

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  Medicare reassignment NPD
• Community Bridges, Inc.

  dba Community Psychiatric Emergency Center - Outpatient

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1588348775
  NPD

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

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1295446888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 ARGYLE DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674302",
            "telephone_number": "520-256-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 ARGYLE DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674302",
            "telephone_number": "520-256-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMEROTO",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "20865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary A De Martino, M.S., CCC-SLP
• Jade Gabrielle Degrauw
• Daniela-Marie Del Gaudio, PA-C
• Jennifer Ann Della Valle, ATR-BC, LCAT
• Sheila Delvalle, LMSW, LGSW
• Luke Denis
• Gwendolyn Denny, CASAC-T
• Lisa Desousa, LPN
• Angelica Detomaso
• Anita Digiacomo

• Clinical Social Worker in Shirley, NY
• Providers in Shirley, 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 Dec 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.