Individual provider Active NPI

Jillian M Viup, LMSW

  • Social Worker
  • Smithtown, NY
National Provider Identifier
1508292921
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
089836 Issued in NY
Practice address
11 Route 111
Smithtown, NY 11787-3739
Phone
(631) 920-8306
Fax
(631) 920-8466
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 089836 NY Primary

Addresses

Primary practice location

11 Route 111
Smithtown, NY 11787-3739

Mailing address

101 Shirley CT
Smithtown, NY 11787-3914
Phone (631) 834-7456

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
I20170113000251 NY Practitioner - Clinical Social Worker 3971885625 Reassigns benefits to 2 organizations

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)

1025 Old Country Rd
Suite 115
Westbury, NY 11590-5653
Phone (516) 767-6856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089836NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Dec 7, 2016 Accepting new patients
Long Island Alzheimer's and Dementia Center CurrentSince Jun 16, 2020 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

11 Route 111
Smithtown, NY 11787
Phone (631) 920-8300

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

1025 Old Country Rd
Ste 115
Westbury, NY 11590
Phone (516) 767-6856

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1508292921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SHIRLEY CT",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873914",
            "telephone_number": "631-834-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873739",
            "telephone_number": "631-920-8306",
            "fax_number": "631-920-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIUP",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "089836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.