Individual provider Active NPI

Elfriede Margot Weiss-Paquette, LCSW

  • Clinical Social Worker
  • W Brentwood, NY
National Provider Identifier
1417010018
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0296511 Issued in NY
Practice address
998 Crooked Hill Rd
Building 71, Second Floor
W Brentwood, NY 11717-1043
Phone
(631) 951-2209
Fax
(631) 951-2209
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0296511 NY Primary

Addresses

Primary practice location

998 Crooked Hill Rd
Building 71, Second Floor
W Brentwood, NY 11717-1043

Mailing address

181 Oakland Ave
Miller Place, NY 11764-3407
Phone (631) 821-1459

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
I20040524001339 NY Practitioner - Clinical Social Worker 6406847789 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

259 1St St
Mineola, NY 11501-3957
Phone (516) 663-2211

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0296511NYMDClinical Social Worker
029651NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
New York University CurrentSince Oct 1, 2022 Accepting new patients
Central Nassau Guidance and Counseling Services, Inc. Past Accepting new patients
Port Jefferson Chiropractic Office PC PastSince Apr 1, 2011 Accepting new patients

Locations

100 Hospital Rd
Ste 217
East Patchogue, NY 11772

100 Hospital Rd
Ste 203
East Patchogue, NY 11772
Phone (631) 475-6900

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417010018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 OAKLAND AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117643407",
            "telephone_number": "631-821-1459",
            "fax_number": "631-821-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BUILDING 71, SECOND FLOOR",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-951-2209",
            "fax_number": "631-951-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS-PAQUETTE",
        "first_name": "ELFRIEDE",
        "middle_name": "MARGOT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0296511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Brentwood, NY

Sources for this page

Verify at the official NPI Registry.