Individual provider Active NPI

Linda Lefkon Bomse, LCSW

  • Clinical Social Worker
  • Syosset, NY
National Provider Identifier
1477617785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039998 Issued in NY
Practice address
8 Cherry LN
Syosset, NY 11791-1808
Phone
(516) 921-7102
Fax
(516) 433-6307
NPI assigned
Dec 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 R039998 NY Primary

Addresses

Primary practice location

8 Cherry LN
Syosset, NY 11791-1808

Mailing address

8 Cherry LN
Syosset, NY 11791-1808
Phone (516) 921-7102

Other identifiers 1

IdentifierTypeStateIssuer
P2832533OtherNYOXFORD

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
I20101217000120 NY Practitioner - Clinical Social Worker 1658569678 Practice locations: Huntington, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

156 Nassau Rd
Huntington, NY 11743-4341
Phone (516) 921-7102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R039998NYMDClinical Social Worker
039998NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477617785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHERRY LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117911808",
            "telephone_number": "516-921-7102",
            "fax_number": "516-433-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHERRY LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117911808",
            "telephone_number": "516-921-7102",
            "fax_number": "516-433-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMSE",
        "first_name": "LINDA",
        "middle_name": "LEFKON",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2832533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.