David Flomenhaft, PHD, LCSW

Individual provider Active NPI Clinical Social Worker · Malverne, NY

NPI 1467453043 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1467453043
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R031673-1 (NY)
Practice address
96 Sydney Ave
Malverne, NY 11565-1135
Phone
(516) 596-0739
Fax
(516) 596-0739
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

96 Sydney Ave
Malverne, NY 11565-1135
Phone (516) 596-0739

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040414001462 NY Practitioner - Clinical Social Worker 1153315734 Reassigns benefits to 1 organization
Practice locations: Malverne, NY

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R031673-1NYMDClinical Social Worker

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
Mercy Medical Center Current
since Oct 5, 2007
Accepting new patients
Mercy Medical Center Current
since Oct 5, 2007
Accepting new patients
Mercy Medical Center Current Accepting new patients

Locations

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Networks

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R031673-1 NY Yes

Addresses

Primary practice location

96 Sydney Ave
Malverne, NY 11565-1135

Mailing address

96 Sydney Ave
Malverne, NY 11565-1135
Phone (516) 596-0739

Other identifiers

IdentifierTypeStateIssuer
29161OtherNYUNITED BEHAVIORAL HEALTH
7405449-003OtherNYGHI
P369743OtherNYOXFORD HEALTH PLANS
104355OtherNYMHN
059519OtherNYVALUE OPTIONS
PVPB79827OtherNYAMER. PSYCH SYS

Other providers in Malverne, NY

All providers in Malverne, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.