Individual provider Active NPI

Juliana Theresa-Anne Overbeck

  • Social Worker
  • Valley Stream, NY
National Provider Identifier
1306414982
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6223
Phone
(516) 569-6600
NPI assigned
Jun 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

50 W Hawthorne Ave FL 2
Valley Stream, NY 11580-6223

Mailing address

20 Vera Ave
Plainview, NY 11803-5621
Phone (516) 240-3287

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
I20241018000309 NY Practitioner - Clinical Social Worker 1153853874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Horizon Counseling Center IncGroup PAC ID 4880681295, 87 clinicians

Practice addresses (Care Compare)

50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Phone (516) 569-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Aug 30, 2024 Accepting new patients
Jason Diana LCSW PastSince Jun 15, 2021 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

50 W Hawthorne Ave
Fl 2
Valley Stream, NY 11580
Phone (718) 471-0200

Organizations & group practices 2

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": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1306414982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 VERA AVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035621",
            "telephone_number": "516-240-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE FL 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806223",
            "telephone_number": "516-569-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBECK",
        "first_name": "JULIANA",
        "middle_name": "THERESA-ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.