Sandra I Perline, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079331 Issued in NY

Practice address

20 Gilbert Ave
Suite 101
Smithtown, NY 11787-5326

Phone

(631) 220-5523

NPI assigned

Apr 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Sandra I Meyerson Former name

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1295978583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE",
            "address_2": "SUITE 101",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875326",
            "telephone_number": "631-220-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GILBERT AVE",
            "address_2": "SUITE 101",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875326",
            "telephone_number": "631-220-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLINE",
        "first_name": "SANDRA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079331",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "MEYERSON",
            "middle_name": "I",
            "prefix": "MS.",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donna Mae Mendoza Perez
• Jenny Perez, REGISTERED NURSE
• Jose L Perez, PA
• Christina Perfetti
• Debra Perkes, LCSW
• Steven W Perline, LCSW
• Melanie Perlson, CDE, RD, MS
• Perratto and Chimenti LLP
• Laura C Perratto, DMD
• Carina Perrotta, R P.A.-C

• Clinical Social Worker in Smithtown, NY
• Providers in Smithtown, 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 Mar 9, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.