Individual provider Active NPI

Donnamarie Dzikowski, LCSW

  • Clinical Social Worker
  • Amityville, NY
National Provider Identifier
1306941729
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R045761-1 Issued in NY
Practice address
221 Broadway
Suite 202B
Amityville, NY 11701-2780
Phone
(631) 574-4606
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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 R045761-1 NY Primary

Addresses

Primary practice location

221 Broadway
Suite 202B
Amityville, NY 11701-2780

Mailing address

280 Walnut St
Lindenhurst, NY 11757-4732
Phone (516) 769-8453

Other identifiers 7

IdentifierTypeStateIssuer
248382000OtherNYMAGELLAN PROV #
105473579OtherNYUBH PROV#
7302084OtherNYAETNA PROV #
7480825OtherNYGHI PIN#
127510OtherNYVYTRA PIN#
P2471074OtherNYOXFORD PROV #
164289OtherNYVALUE OPTIONS PIN#

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
I20040427001748 NY Practitioner - Clinical Social Worker 0840287298 Practice locations: Amityville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

166 Broadway
Amityville, NY 11701-2704
Phone (631) 574-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R045761-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CG&D Alcoholism and Addiction Services, Inc. Past Accepting new patients
Reflections Psychotherapy and Counseling, Joann Most, LCSW, P.C. Clinical Past Accepting new patients

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1306941729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 WALNUT ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574732",
            "telephone_number": "516-769-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 202B",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012780",
            "telephone_number": "631-574-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIKOWSKI",
        "first_name": "DONNAMARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045761-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROV #",
            "identifier": "248382000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PROV#",
            "identifier": "105473579",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROV #",
            "identifier": "7302084",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN#",
            "identifier": "7480825",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA PIN#",
            "identifier": "127510",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROV #",
            "identifier": "P2471074",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PIN#",
            "identifier": "164289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.