Fabiola Reid, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095017 Issued in NY

Practice address

61 Locust Dr
Mastic Beach, NY 11951-7107

Phone

(631) 494-5383

NPI assigned

Oct 15, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Counseling and LCSW ServicesGroup PAC ID 3577605617, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Counseling & LCSW Services PC

  dba Community Counseling & LCSW Services

  • Clinical Social Worker
  • Center Moriches, NY
  • NPI 1770819690
  Medicare reassignment Care Compare group NPD
• Senior Living Behavioral Health LCSW PLLC

  • Clinical Social Worker
  • New York, NY
  • NPI 1083150056
  Medicare reassignment NPD
• Guided Counseling Services LCSW PLLC

  • Clinical Social Worker
  • Mastic Beach, NY
  • NPI 1932057031
  NPD Authorized official
• Qureshi Medical Services PLLC

  dba Qureshi Medical Services

  • Psychiatry Physician
  • Center Moriches, NY
  • NPI 1316763162
  NPD
• Insightful Paths LLC

  • Community/Behavioral Health Agency
  • Coram, NY
  • NPI 1629833504
  NPD (past)
• Shine Medical PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1427783950
  NPD (past)

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1497159735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LOCUST DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119517107",
            "telephone_number": "631-874-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LOCUST DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119517107",
            "telephone_number": "631-494-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Main St",
            "address_purpose": "LOCATION",
            "city": "Center Moriches",
            "state": "NY",
            "postal_code": "119343514",
            "country_code": "US",
            "telephone_number": "631-874-0185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "FABIOLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "093408",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Perreco
• Lynnann Pfautsch, RN
• Alexis Marie Pineiro
• Beverly Pinnock, BSN
• Jadeja Purdie
• Resiliency Licensed Mental Health Counseling Services, PLLC
• Cheyenne Rich
• Angela Robinson, LPN
• Madonna Crystalee Rodriguez, REGISTERED NURSE
• Eve Sable

• Clinical Social Worker in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.