Individual provider Active NPI

Anjali Balesh Papaiacovou, L.C.S.W.-R

  • Clinical Social Worker
  • Huntington Station, NY
National Provider Identifier
1487903639
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
60 Horton Dr
Huntington Station, NY 11746-4206
Phone
(631) 987-5344
Fax
(631) 549-2933
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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 Primary

Addresses

Primary practice location

60 Horton Dr
Huntington Station, NY 11746-4206

Mailing address

60 Horton Dr
Huntington Station, NY 11746-4206
Phone (631) 987-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1487903639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HORTON DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464206",
            "telephone_number": "631-987-5344",
            "fax_number": "631-549-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HORTON DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117464206",
            "telephone_number": "631-987-5344",
            "fax_number": "631-549-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAIACOVOU",
        "first_name": "ANJALI",
        "middle_name": "BALESH",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

Verify at the official NPI Registry.