Individual provider Active NPI

Carrie Taibi, LCSW-R

  • Clinical Social Worker
  • Bay Shore, NY
National Provider Identifier
1356381743
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073253-1 Issued in NY
Practice address
260 W Main St
Suite 8
Bay Shore, NY 11706-8322
Phone
(631) 647-9009
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 073253-1 NY Primary

Addresses

Primary practice location

260 W Main St
Suite 8
Bay Shore, NY 11706-8322

Mailing address

5 Coleridge PL
Greenlawn, NY 11740-2601
Phone (631) 239-5447

Other identifiers 1

IdentifierTypeStateIssuer
02135326MedicaidNY

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
I20040630000473 NY Practitioner - Clinical Social Worker 3173500980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Visiting Counselors LCSW PLLCGroup PAC ID 8426393968, 28 clinicians

Practice addresses (Care Compare)

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073253NYMDSocial Worker
073253-1NYMDClinical Social Worker
047176NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors, LCSW, PLLC Clinical CurrentSince Jun 5, 2025 Accepting new patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince Oct 28, 2024 Accepting new patients
Metropolitan Psychological & Licensed Master Social Work Services PLLC Clinical Past Accepting new patients
Bay Shore Medical Services, P.C. Past Accepting new patients
Laura E Asner CSW PC Clinical PastSince May 1, 1995 Accepting new patients

Locations

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1356381743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLERIDGE PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402601",
            "telephone_number": "631-239-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W MAIN ST",
            "address_2": "SUITE 8",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068322",
            "telephone_number": "631-647-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIBI",
        "first_name": "CARRIE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073253-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02135326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.