Pedram Samghabadi, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074064 Issued in NY

Practice address

365 E Main St
Patchogue, NY 11772-3145

Phone

(631) 854-1222

Fax

(631) 854-1226

NPI assigned

Mar 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1316188022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22036",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122012036",
            "telephone_number": "631-854-1222",
            "fax_number": "631-854-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 E MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723145",
            "telephone_number": "631-854-1222",
            "fax_number": "631-854-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMGHABADI",
        "first_name": "PEDRAM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Salazar, NBC-HWC
• Stephanie Salinas, PA
• Nora Bridie Salmon, LPN
• Brianna Salvia
• Natasha Samaroo, BSN RN
• Falak Sana
• Elizabeth S Sandusky, CASAC
• Jennifer Sanford, N.P.
• Jeanne Marie Sanginario-Victor
• Danielle Sangiovanni, LCSW

• Clinical Social Worker in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.