Individual provider Active NPI

Alyson Rose Smith, LCSW

  • Clinical Social Worker
  • Manorville, NY
National Provider Identifier
1396379301
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095654 Issued in NY
Practice address
221 Old River Rd
Manorville, NY 11949-1400
Phone
(631) 352-8906
NPI assigned
Feb 28, 2020
Last updated
Jun 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 095654 NY Primary

Addresses

Primary practice location

221 Old River Rd
Manorville, NY 11949-1400

Mailing address

221 Old River Rd
Manorville, NY 11949-1400
Phone (631) 352-8906

Other names 1

  • Alyson Rose Paruolo Former name

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
I20230820000027 NY Practitioner - Clinical Social Worker 9830551084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brittni Traina, LCSW PLLCGroup PAC ID 9537535554, 10 clinicians

Practice addresses (Care Compare)

2050 N Country Rd
Wading River, NY 11792-1634
Phone (631) 379-5637

39 Forest Ave
Glen Cove, NY 11542-2107
Phone (631) 379-5637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brittni Traina, LCSW, PLLC Clinical CurrentSince Jul 5, 2023 Accepting new patients

Organizations & group practices 1

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1396379301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 OLD RIVER RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119491400",
            "telephone_number": "631-352-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 OLD RIVER RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119491400",
            "telephone_number": "631-352-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALYSON",
        "middle_name": "ROSE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "PARUOLO",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manorville, NY

Sources for this page

Verify at the official NPI Registry.