Individual provider Active NPI

Michelle Decastro

  • Clinical Social Worker
  • Rockville Centre, NY
National Provider Identifier
1306508783
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086281 Issued in NY
Practice address
100 Merrick Rd Ste 106E
Rockville Centre, NY 11570-4801
Phone
(516) 696-8401
NPI assigned
Oct 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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 086281 NY Primary

Addresses

Primary practice location

100 Merrick Rd Ste 106E
Rockville Centre, NY 11570-4801

Mailing address

100 Merrick Rd Ste 106
Rockville Centre, NY 11570-4800
Phone (516) 696-8401

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
I20211104002595 NY Practitioner - Clinical Social Worker 8123417524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086281NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince Sep 13, 2022 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
Harmony Health Care Long Island CurrentSince Sep 13, 2022 Accepting new patients

Locations

161 Hempstead Tpke
Elmont, NY 11003
Phone (516) 571-8200

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1306508783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 106",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704800",
            "telephone_number": "516-696-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRICK RD STE 106E",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704801",
            "telephone_number": "516-696-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.