Individual provider Active NPI

Linnar Ortalan-Ozbilge, LCSW-R

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1407825698
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R037127 Issued in NY
Practice address
4131 Richmond Ave
Staten Island, NY 10312-5633
Phone
(718) 608-5919
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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 R037127 NY Primary

Addresses

Primary practice location

4131 Richmond Ave
Staten Island, NY 10312-5633

Mailing address

83 Pemberton Ave
Staten Island, NY 10308-1565
Phone (718) 984-6683

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
I20080519000341 NY Practitioner - Clinical Social Worker 5890864789 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

149 Barlow Ave
Staten Island, NY 10308-1602
Phone (718) 608-5919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R037127NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Linnar Ortalan, LCSW, PC Clinical CurrentSince Jun 2, 2010 Accepting new patients
Christa Durkin, LCSW, P.C. Clinical PastSince Jun 2, 2010 Accepting new patients
Pakier Psychological Services P.C. Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

3930 Richmond Ave
Ste 105
Staten Island, NY 10312
Phone (347) 538-2977

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1407825698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 PEMBERTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081565",
            "telephone_number": "718-984-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125633",
            "telephone_number": "718-608-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTALAN-OZBILGE",
        "first_name": "LINNAR",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R037127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.