Individual provider Active NPI

Kay A. Posillico, L.C.S.W.

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1376615237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R037607 Issued in NY
Practice address
57 Wendover Dr
Huntington, NY 11743-2034
Phone
(631) 673-3274
Fax
(631) 549-0134
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R037607 NY Primary

Addresses

Primary practice location

57 Wendover Dr
Huntington, NY 11743-2034

Mailing address

57 Wendover Dr
Huntington, NY 11743-2034
Phone (631) 673-3274

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
I20100326000833 NY Practitioner - Clinical Social Worker 2567598782 Practice locations: Huntington, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

57 Wendover Dr
Huntington, NY 11743-2034
Phone (631) 673-3274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R037607NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376615237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 WENDOVER DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432034",
            "telephone_number": "631-673-3274",
            "fax_number": "631-549-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 WENDOVER DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432034",
            "telephone_number": "631-673-3274",
            "fax_number": "631-549-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSILLICO",
        "first_name": "KAY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R037607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.