Active NPI
Cheryl Bittner, LCSW P.C.
- Clinical Social Worker
- Smithtown, NY
National Provider Identifier
1366793796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079167
- Legal business name
- CHERYL BITTNER, LCSW P.C.
- Practice address
- 88 Terry Rd
Suite 2
Smithtown, NY 11787-3811 - Phone
- (631) 786-2826
- Fax
- (631) 724-2028
- NPI assigned
- Sep 25, 2012
- 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
- Cheryl A Bittner, LCSW
- Title
- President/Owner
- Phone
- (631) 786-2826
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 079167 | NY | Primary |
Addresses
Primary practice location
88 Terry Rd
Suite 2
Smithtown, NY 11787-3811
Mailing address
88 Terry Rd
Suite 2
Smithtown, NY 11787-3811
Phone (631) 786-2826
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03454868 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Cheryl Bittner LCSW PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Hialeah, FL
- NPI 1386056349
Locations
88 Terry Rd
Ste 2
Smithtown, NY 11787
Phone (516) 263-5160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348531200000",
"number": "1366793796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 TERRY RD",
"address_2": "SUITE 2",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873811",
"telephone_number": "631-786-2826",
"fax_number": "631-724-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 TERRY RD",
"address_2": "SUITE 2",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873811",
"telephone_number": "631-786-2826",
"fax_number": "631-724-2028"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERYL BITTNER, LCSW P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A",
"authorized_official_last_name": "BITTNER",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "631-786-2826",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03454868",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.