Individual provider Active NPI

Ann Carpentiere, L.C.S.W.

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1306275052
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071028-1 Issued in NY
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

Updated by the provider on Nov 4, 2013

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 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 Professional name

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

LicenseStateTypeSpecialty
071028-1NYMDClinical Social Worker
054647NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.