Organization Active NPI

Jeanne G. Halpern-Lewis, LCSW. PC

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1487694907
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R047181-01 Issued in NY
Legal business name
JEANNE G. HALPERN-LEWIS, LCSW. PC
Practice address
79 River Heights Dr
Smithtown, NY 11787-1754
Phone
(631) 265-4920
Fax
(631) 265-4920
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeanne Gail Halpern-Lewis, LCSWNPI 1669544664
Title
President
Phone
(631) 265-4920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R047181-01 NY Primary

Addresses

Primary practice location

79 River Heights Dr
Smithtown, NY 11787-1754

Mailing address

79 River Heights Dr
Smithtown, NY 11787-1754
Phone (631) 265-4920

Other identifiers 10

IdentifierTypeStateIssuer
2107149OtherNYCIGNA INSURANCE
NG3811OtherNYEMPIRE-MAGELLAN B HEALTH
P1999676OtherNYOXFORD INSURANCE
120779OtherNYVYTRA INSURANCE
R047181OtherNYHIP
315803OtherNYMHN INSURANCE
7352224OtherNYEMPIRE-VALUEOPTIONS
02261296MedicaidNY
141486OtherNYVALUEOPTIONS
7352224OtherNYGHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061121000196 NY Part B Supplier - Clinic/Group Practice 0143228429 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487694907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 RIVER HEIGHTS DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871754",
            "telephone_number": "631-265-4920",
            "fax_number": "631-265-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 RIVER HEIGHTS DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871754",
            "telephone_number": "631-265-4920",
            "fax_number": "631-265-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE G. HALPERN-LEWIS, LCSW. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALPERN-LEWIS",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-265-4920",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047181-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INSURANCE",
            "identifier": "2107149",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE-MAGELLAN B HEALTH",
            "identifier": "NG3811",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE",
            "identifier": "P1999676",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA INSURANCE",
            "identifier": "120779",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "R047181",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN INSURANCE",
            "identifier": "315803",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE-VALUEOPTIONS",
            "identifier": "7352224",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02261296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "141486",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7352224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.