Individual provider Active NPI

Alan P Felice, MSW, LCSW

  • Clinical Social Worker
  • South Setauket, NY
National Provider Identifier
1295923571
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR225571 Issued in NY
Practice address
3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1163
Phone
(631) 751-7222
Fax
(631) 751-7222
NPI assigned
Oct 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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 PR225571 NY Primary

Addresses

Primary practice location

3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1163

Mailing address

3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1163
Phone (631) 751-7222

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
I20130715000579 NY Practitioner - Clinical Social Worker 4587804505 Practice locations: South Setauket, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3771 Nesconset Hgwy
Centereach, NY 11720-1154

3771 Nesconset Hwy
Suite 208a
South Setauket, NY 11720-1154
Phone (631) 751-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR225571NYMDClinical Social Worker
022557NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Heawon Hake Inc. 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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1295923571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 208A",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-751-7222",
            "fax_number": "631-751-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3771 NESCONSET HWY",
            "address_2": "SUITE 208A",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201163",
            "telephone_number": "631-751-7222",
            "fax_number": "631-751-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICE",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR225571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Setauket, NY

Sources for this page

Verify at the official NPI Registry.