Individual provider Active NPI

Barbara McKenna Folks, LCSW-R

  • Clinical Social Worker
  • Medford, NY
National Provider Identifier
1518311869
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070377-1 Issued in NY
Practice address
1717 N Ocean Ave
Medford, NY 11763-2678
Phone
(631) 949-6009
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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 R070377-1 NY Primary

Addresses

Primary practice location

1717 N Ocean Ave
Medford, NY 11763-2678

Mailing address

57 Evergreen LN
East Patchogue, NY 11772-5803
Phone (631) 949-6009

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
I20161103001568 NY Practitioner - Clinical Social Worker 3072891530 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2002
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)

234 Main St
Center Moriches, NY 11934-3514
Phone (631) 874-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R070377-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & LCSW Services PC Clinical CurrentSince Apr 10, 2018 Accepting new patients
The Young Men's Christian Association of Long Island Incorporated CurrentSince Aug 20, 2016 Accepting new patients
Barbara M. Folks,LCSW,P.C. Clinical Past Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients

Locations

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

234 Main St
Ste 3
Ctr Moriches, NY 11934
Phone (631) 878-7106

1150 Portion Rd
Ste 6
Holtsville, NY 11742
Phone (631) 580-7777

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1518311869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 EVERGREEN LN",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725803",
            "telephone_number": "631-949-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632678",
            "telephone_number": "631-949-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLKS",
        "first_name": "BARBARA",
        "middle_name": "MCKENNA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070377-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.