Individual provider Active NPI

Evelyn Haughwout, LCSW

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1336155415
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043415-1 Issued in NY
Practice address
55 Horizon Dr
Huntington, NY 11743-4436
Phone
(631) 920-8000
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R043415-1 NY Primary

Addresses

Primary practice location

55 Horizon Dr
Huntington, NY 11743-4436

Mailing address

20 Summit St
Huntington, NY 11743-2604
Phone (631) 425-7905

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
I20101209001067 NY Practitioner - Clinical Social Worker 9739376245 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura E Asner CSW PCGroup PAC ID 3577525740, 6 clinicians

Practice addresses (Care Compare)

260 W Main St
Suite 8
Bay Shore, NY 11706-8322
Phone (631) 647-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043415-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura E Asner CSW PC Clinical CurrentSince Dec 12, 2019 Accepting new patients
Long Island Counseling LCSW PC Clinical CurrentSince Jun 1, 2025 Accepting new patients
Douglas a. Byrnes, MD, PC CurrentSince Jun 1, 2025 Accepting new patients

Locations

260 W Main St
Ste 8
Bay Shore, NY 11706
Phone (631) 647-9009

2545 Hempstead Tpke
Ste 105
East Meadow, NY 11554
Phone (347) 485-7414

152 E Main St
Ste B
Huntington, NY 11743
Phone (631) 380-3299

Organizations & group practices 4

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336155415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SUMMIT ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432604",
            "telephone_number": "631-425-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HORIZON DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434436",
            "telephone_number": "631-920-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHWOUT",
        "first_name": "EVELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043415-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.