Individual provider Active NPI

Nancy Ivry, LMSW

  • Social Worker
  • Plainview, NY
National Provider Identifier
1487066882
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089888-1 Issued in NY
Practice address
90 Briarwood LN
Plainview, NY 11803-6404
Phone
(516) 458-3027
NPI assigned
May 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 089888-1 NY Primary

Addresses

Primary practice location

90 Briarwood LN
Plainview, NY 11803-6404

Mailing address

90 Briarwood LN
Plainview, NY 11803-6404

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
I20180521000115 NY Practitioner - Clinical Social Worker 4183989296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

90 Briarwood LN
Plainview, NY 11803-6404
Phone (516) 458-3027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089888-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy a Ivry LCSW PC CurrentSince Mar 7, 2018 Accepting new patients
Canino LCSW Psychotherapy PC Past Accepting new patients

Locations

136 Woodbury Rd
Ste 102A
Woodbury, NY 11797
Phone (516) 458-3909

136 Woodbury Rd
Ste 101C
Woodbury, NY 11797
Phone (516) 458-3909

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1487066882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BRIARWOOD LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BRIARWOOD LN",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118036404",
            "telephone_number": "516-458-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVRY",
        "first_name": "NANCY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089888-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.