Active NPI
Ann Carpentiere, L.C.S.W.
- Clinical Social Worker
- Hauppauge, NY
National Provider Identifier
1306275052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 071028-1
- Practice address
- North Cp0Unty Complex, Building C928
Vets Memorial Highway
Hauppauge, NY 11788 - Phone
- (631) 853-8510
- Fax
- (631) 853-8518
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 071028-1 | NY | Primary |
Addresses
Primary practice location
North Cp0Unty Complex, Building C928
Vets Memorial Highway
Hauppauge, NY 11788
Mailing address
PO Box 6100
Vets Memorial Highway, N. County Complex, Building C928
Hauppauge, NY 11788-0099
Phone (631) 853-8510
Other names 1
- Miss Ann Carpentiere
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071028-1 | NY | MD | Clinical Social Worker |
| 054647 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network 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.
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1306275052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6100",
"address_2": "VETS MEMORIAL HIGHWAY, N. COUNTY COMPLEX, BUILDING C928",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117880099",
"telephone_number": "631-853-8510",
"fax_number": "631-853-8518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NORTH CP0UNTY COMPLEX, BUILDING C928",
"address_2": "VETS MEMORIAL HIGHWAY",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "11788",
"telephone_number": "631-853-8510",
"fax_number": "631-853-8518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTIERE",
"first_name": "ANN",
"name_prefix": "Miss",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "071028-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "CARPENTIERE",
"prefix": "MISS",
"credential": "L.C.S.W.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.