Individual provider Active NPI

Beatrice Valenti, LCSW

  • Clinical Social Worker
  • Lawrence, NY
National Provider Identifier
1336213453
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0377281 Issued in NY
Practice address
46 Barrett Rd
Lawrence, NY 11559
Phone
(516) 371-0588
Fax
(516) 371-0588
NPI assigned
Nov 20, 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 R0377281 NY Primary

Addresses

Primary practice location

46 Barrett Rd
Lawrence, NY 11559

Mailing address

46 Barrett Rd
Lawrence, NY 11559
Phone (516) 371-0588

Other identifiers 1

IdentifierTypeStateIssuer
00244817MedicaidNY

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
I20101018000675 NY Practitioner - Clinical Social Worker 4284827759 Practice locations: Lawrence, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

46 Barrett Rd
Lawrence, NY 11559-2703
Phone (516) 371-0588

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0377281NYMDClinical Social Worker
037728NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336213453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BARRETT RD",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-371-0588",
            "fax_number": "516-371-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BARRETT RD",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "11559",
            "telephone_number": "516-371-0588",
            "fax_number": "516-371-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTI",
        "first_name": "BEATRICE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0377281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00244817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.