Individual provider Active NPI

Colleen Jean Kalman, LCSW

  • Clinical Social Worker
  • Patchogue, NY
National Provider Identifier
1346324241
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075020-1 Issued in NY
Practice address
31 Oak St
Suite 21
Patchogue, NY 11772-2841
Phone
(516) 987-4200
Fax
(800) 297-0976
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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 075020-1 NY Primary

Addresses

Primary practice location

31 Oak St
Suite 21
Patchogue, NY 11772-2841

Mailing address

PO Box 3926
New Hyde Park, NY 11040-8926
Phone (516) 987-4200

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
I20040820000935 NY Practitioner - Clinical Social Worker 9931173424 Reassigns benefits to 3 organizations
Practice locations: Port Jefferson Station, NY; Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Island Elder Care LCSW PLLCGroup PAC ID 8224038286, 17 clinicians

Practice addresses (Care Compare)

51 Rose St
Smithtown, NY 11787-1052

732 Smithtown Byp
Suite A55
Smithtown, NY 11787-5020
Phone (631) 320-1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075020-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Port Jefferson Psychological & Vocational P.C. Clinical CurrentSince Jan 21, 2016 Accepting new patients
Long Island Elder Care LCSW PLLC CurrentSince Jan 6, 2015 Accepting new patients
Colleen Jean Kalman LCSW PLLC Past Accepting new patients
Mary Anderson LCSW PC Clinical Past Accepting new patients

Locations

5225 Route 347
Ste 46
Port Jefferson Station, NY 11776
Phone (631) 928-4635

732 Smithtown Byp
Ste A55
Smithtown, NY 11787
Phone (631) 320-1070

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: colleenkalman@tdh.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1346324241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3926",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110408926",
            "telephone_number": "516-987-4200",
            "fax_number": "800-297-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "address_2": "SUITE 21",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722841",
            "telephone_number": "516-987-4200",
            "fax_number": "800-297-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "COLLEEN",
        "middle_name": "JEAN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075020-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.