Individual provider Active NPI

Julie B Chaffee, LCSW

  • Clinical Social Worker
  • Lynbrook, NY
National Provider Identifier
1528245495
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079106-1 Issued in NY
Practice address
777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950
Phone
(516) 350-8564
Fax
(516) 874-2477
NPI assigned
Jan 23, 2008
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 079106-1 NY Primary

Addresses

Primary practice location

777 Sunrise Hwy Ste 200
Lynbrook, NY 11563-2950

Mailing address

192 Burtis Ave
Rockville Centre, NY 11570-2434
Phone (516) 608-1016

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
I20130314000231 NY Practitioner - Clinical Social Worker 0042455362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nassau Psychology, P.C.Group PAC ID 1951690254, 23 clinicians

Practice addresses (Care Compare)

123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079106-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychology, P.C. CurrentSince May 21, 2025 Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 350-5864

777 Sunrise Hwy
Ste 200
Lynbrook, NY 11563
Phone (516) 887-3516

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Phone (516) 594-2111

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, 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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1528245495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 BURTIS AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702434",
            "telephone_number": "516-608-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 SUNRISE HWY STE 200",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632950",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFEE",
        "first_name": "JULIE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079106-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.