Individual provider Active NPI

Marina Z. Temkina, LCSW

  • Clinical Social Worker
  • Valley Stream, NY
National Provider Identifier
1407922719
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076331-1 Issued in NY
Practice address
50 W Hawthorne Ave
Peninsula Counseling Center, Inc.
Valley Stream, NY 11580-6220
Phone
(516) 569-6600
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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 076331-1 NY Primary

Addresses

Primary practice location

50 W Hawthorne Ave
Peninsula Counseling Center, Inc.
Valley Stream, NY 11580-6220

Mailing address

303 W 21St St Apt 3C
New York, NY 10011-3084
Phone (212) 929-0017

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
I20100730000044 NY Practitioner - Clinical Social Worker 8123151990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Psychiatric Services PCGroup PAC ID 9436040102, 23 clinicians

Practice addresses (Care Compare)

225 Broadway
Suite 1605
New York, NY 10007-3756
Phone (212) 693-4010

Merit-based Incentive Payment System (MIPS)

Final score
99.18 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
86.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076331-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New York Psychiatric Services, P.C. CurrentSince Mar 1, 2014 Accepting new patients

Locations

225 Broadway
Ste 1605
New York, NY 10007
Phone (212) 227-2225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276128000000",
    "number": "1407922719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 21ST ST APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100113084",
            "telephone_number": "212-929-0017",
            "fax_number": "212-268-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W HAWTHORNE AVE",
            "address_2": "PENINSULA COUNSELING CENTER, INC.",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806220",
            "telephone_number": "516-569-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMKINA",
        "first_name": "MARINA",
        "middle_name": "Z.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076331-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.