Individual provider Active NPI

Paul Brian Chaisson, LCSW

  • Social Worker
  • Long Beach, NY
National Provider Identifier
1518946342
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PR016329 Issued in NY
Practice address
410 E Broadway
#2J
Long Beach, NY 11561-4401
Phone
(516) 897-3912
Fax
(516) 897-3912
NPI assigned
Jan 11, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PR016329 NY Primary

Addresses

Primary practice location

410 E Broadway
#2J
Long Beach, NY 11561-4401

Mailing address

410 E Broadway
#2J
Long Beach, NY 11561-4401
Phone (516) 897-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060519000047 NY Practitioner - Clinical Social Worker 4880605211 Practice locations: Southold, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53840 Main Rd
FL 2
Southold, NY 11971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016329NYMDPsychologist
PR016329NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kanaris Psychological Services PC Past Accepting new patients
Marie Rothschild LCSW PLLC Past Accepting new patients
Psychological Services Associate PC PastSince Sep 30, 1999 Accepting new patients

Organizations & group practices 3

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1518946342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E BROADWAY",
            "address_2": "#2J",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614401",
            "telephone_number": "516-897-3912",
            "fax_number": "516-897-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E BROADWAY",
            "address_2": "#2J",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614401",
            "telephone_number": "516-897-3912",
            "fax_number": "516-897-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAISSON",
        "first_name": "PAUL",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR016329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

Verify at the official NPI Registry.