Organization Active NPI

Hollow Hills Licensed Clinical Social Work P.C.

  • Social Worker
  • Dix Hills, NY
National Provider Identifier
1346495710
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R054186-1 Issued in NY
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

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Marilyn FentyNPI 1578787222
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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20090220000328 NY Part B Supplier - Clinic/Group Practice 8123183423 Receives reassigned benefits from 1 practitioner
Practice locations: Dix Hills, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.