Individual provider Active NPI

Kallirroy Kontos, LCSW-R, CASAC, BCD

  • Clinical Social Worker
  • West Babylon, NY
National Provider Identifier
1477793313
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R048155-1 Issued in NY
Practice address
609 Route 109 Ste 1B2
West Babylon, NY 11704-5069
Phone
(631) 592-2179
Fax
(631) 592-8060
NPI assigned
Mar 5, 2009
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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 R048155-1 NY Primary

Addresses

Primary practice location

609 Route 109 Ste 1B2
West Babylon, NY 11704-5069

Mailing address

PO Box 872
Lindenhurst, NY 11757-0872
Phone (631) 592-2179

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
I20040227000698 NY Practitioner - Clinical Social Worker 9335035005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

609 Route 109
Suite 1B2
West Babylon, NY 11704-5069
Phone (631) 592-2179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R048155-1NYMDClinical Social Worker
048155NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kontos Psychotherapy LCSW PC Clinical CurrentSince Apr 18, 2010 Accepting new patients

Locations

233 7th St
#2
Garden City, NY 11530
Phone (516) 508-1003

121 Pulaski Rd
Kings Park, NY 11754
Phone (631) 269-1148

183 S Wellwood Ave
Unit C
Lindenhurst, NY 11757
Phone (631) 592-2179

609 Route 109
Ste 1B2
West Babylon, NY 11704
Phone (631) 592-2179

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1477793313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117570872",
            "telephone_number": "631-592-2179",
            "fax_number": "631-592-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ROUTE 109 STE 1B2",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045069",
            "telephone_number": "631-592-2179",
            "fax_number": "631-592-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTOS",
        "first_name": "KALLIRROY",
        "credential": "LCSW-R, CASAC, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R048155-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.