Organization Active NPI

Cheryl Bittner, LCSW P.C.

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1366793796
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079167 Issued in NY
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

Updated by the provider on Sep 25, 2012

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03454868MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Cheryl Bittner LCSW PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.