Individual provider Active NPI

Nomi Rinke, DCSW

  • Clinical Social Worker
  • Port Washington, NY
National Provider Identifier
1497842470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR011575-1 Issued in NY
Practice address
34 Locust Ave
Port Washington, NY 11050-2712
Phone
(516) 944-8883
Fax
(516) 944-8290
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR011575-1 NY Primary

Addresses

Primary practice location

34 Locust Ave
Port Washington, NY 11050-2712

Mailing address

34 Locust Ave
Port Washington, NY 11050-2712
Phone (516) 944-8883

Other identifiers 3

IdentifierTypeStateIssuer
092672OtherNYVALUE OPTIONS ID
14308OtherNYDCSW
0078479OtherNYGHI ID

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
I20100212000351 NY Practitioner - Clinical Social Worker 6103960224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Locust Ave
Port Washington, NY 11050-2712
Phone (516) 944-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR011575-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nomi Rinke LCSW P.C. Clinical CurrentSince Aug 12, 1981 Accepting new patients

Organizations & group practices 1

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497842470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOCUST AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502712",
            "telephone_number": "516-944-8883",
            "fax_number": "516-944-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 LOCUST AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502712",
            "telephone_number": "516-944-8883",
            "fax_number": "516-944-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINKE",
        "first_name": "NOMI",
        "name_prefix": "Ms.",
        "credential": "DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR011575-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID",
            "identifier": "092672",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCSW",
            "identifier": "14308",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI ID",
            "identifier": "0078479",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

Verify at the official NPI Registry.