Individual provider Active NPI

Patricia A Volpe, LCSW-R

  • Clinical Social Worker
  • Patchogue, NY
National Provider Identifier
1386761658
Registry record updated Mar 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070810 Issued in NY
Practice address
146 Ketcham Ave
Patchogue, NY 11772-2549
Phone
(631) 569-2858
Fax
(631) 569-4280
NPI assigned
Mar 23, 2007
Last updated
Mar 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2011

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 070810 NY Primary

Addresses

Primary practice location

146 Ketcham Ave
Patchogue, NY 11772-2549

Mailing address

146 Ketcham Ave
Patchogue, NY 11772-2549
Phone (631) 569-2858

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
I20110617000209 NY Practitioner - Clinical Social Worker 0143408385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1727 N Ocean Ave
Medford, NY 11763-2649
Phone (631) 654-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058456NYMDPharmacist
070810NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Rockville Centre Current Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Aug 23, 2021 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Aug 23, 2021 Accepting new patients
Southeast Nassau Guidance Center Inc. Past Accepting new patients
Southeast Nassau Guidance Center Past Accepting new patients

Locations

90 Cherry Ln
Hicksville, NY 11801
Phone (516) 733-7040

1727 N Ocean Ave
Medford, NY 11763
Phone (631) 578-0652

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299196800000",
    "number": "1386761658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 KETCHAM AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722549",
            "telephone_number": "631-569-2858",
            "fax_number": "631-569-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 KETCHAM AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722549",
            "telephone_number": "631-569-2858",
            "fax_number": "631-569-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLPE",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.