Individual provider Active NPI

Sallyann Ricciardi, LCSW

  • Clinical Social Worker
  • Locust Valley, NY
National Provider Identifier
1306985973
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0469241 Issued in NY
Practice address
87 Valley Ave
Locust Valley, NY 11560-2013
Phone
(516) 674-8588
Fax
(516) 671-2580
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 R0469241 NY Primary

Addresses

Primary practice location

87 Valley Ave
Locust Valley, NY 11560-2013

Mailing address

87 Valley Ave
Locust Valley, NY 11560-2013
Phone (516) 674-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0469241NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Past Accepting new patients
Sallyann Ricciardi, LCSW-R,PC Clinical Past Accepting new patients
Robert Appel, MD Past Accepting new patients

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1306985973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 VALLEY AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602013",
            "telephone_number": "516-674-8588",
            "fax_number": "516-671-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 VALLEY AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602013",
            "telephone_number": "516-674-8588",
            "fax_number": "516-671-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCIARDI",
        "first_name": "SALLYANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0469241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

Verify at the official NPI Registry.