Active NPI
Stecia Pyrame Assad, LMSW
- Social Worker
- Amityville, NY
National Provider Identifier
1295960649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 078784
- Practice address
- 201 Dixon Ave
Amityville, NY 11701-2832 - Phone
- (631) 691-5100
- NPI assigned
- May 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 078784 | NY | Primary |
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
201 Dixon Ave
Amityville, NY 11701-2832
Mailing address
103 Fulton Blvd
Commack, NY 11725-1729
Other practice location 1
103 Fulton Blvd
Commack, NY 11725-1729
Phone (516) 322-4869
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078784 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1295960649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 FULTON BLVD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117251729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DIXON AVE",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012832",
"telephone_number": "631-691-5100"
}
],
"practiceLocations": [
{
"address_1": "103 Fulton Blvd",
"address_purpose": "LOCATION",
"city": "Commack",
"state": "NY",
"postal_code": "117251729",
"country_code": "US",
"telephone_number": "516-322-4869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PYRAME ASSAD",
"first_name": "STECIA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-28",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "078784",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.