Christina Bozza, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

401 Main St Ste 108
Islip, NY 11751-3560

Phone

(631) 446-1950

NPI assigned

Mar 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• West Islip Youth Enrichment Services Incorporated

  • Community/Behavioral Health Agency
  • Islip, NY
  • NPI 1306260096
  NPD (past)

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1386102440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117950105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST STE 108",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513560",
            "telephone_number": "631-446-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZA",
        "first_name": "CHRISTINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Bocklet, LCSW-R, CASAC
• Marisa Bonventre, OTR
• Georgiana Borda
• Tracey Maria Boriel, BA
• Robert Anthony Bottner, D.D.S.
• Jaclynn Brandi, LMT
• Kevin Brandt, MS, ATC, PES
• Karlene Elizabeth Braun-Oscher, P.T.
• Bridget Mary Breen, LMHC
• Kristen A Brelsford, SLP

• All providers in Islip, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.