Active NPI
Hollow Hills Licensed Clinical Social Work P.C.
- Social Worker
- Dix Hills, NY
National Provider Identifier
1346495710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R054186-1
- Legal business name
- HOLLOW HILLS LICENSED CLINICAL SOCIAL WORK P.C.
- Practice address
- 31 Melrose Rd
Dix Hills, NY 11746-5610 - Phone
- (631) 425-1168
- Fax
- (631) 673-0313
- NPI assigned
- Nov 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Fenty
- Title
- Office Manager
- Phone
- (631) 673-0311
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R054186-1 | NY | Primary |
Addresses
Primary practice location
31 Melrose Rd
Dix Hills, NY 11746-5610
Mailing address
31 Melrose Rd
Dix Hills, NY 11746-5610
Phone (631) 573-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Dix Hills, NY
- NPI 1730303454
-
- Mental Health Counselor
- Dix Hills, NY
- NPI 1578787222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773187200000",
"number": "1346495710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MELROSE RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465610",
"telephone_number": "631-573-0311",
"fax_number": "631-673-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MELROSE RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465610",
"telephone_number": "631-425-1168",
"fax_number": "631-673-0313"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLOW HILLS LICENSED CLINICAL SOCIAL WORK P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-26",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A",
"authorized_official_last_name": "FENTY",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "631-673-0311"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "R054186-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.