Active NPI
Michelle Lynn Seufert, LMSW
- Clinical Social Worker
- Miller Place, NY
National Provider Identifier
1568093185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090324
- Practice address
- 565 Route 25a
Miller Place, NY 11764-2663 - Phone
- (631) 219-4292
- NPI assigned
- Feb 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 096871 | NY | |
| Clinical Social Worker | 1041C0700X | 090324 | NY | Primary |
Addresses
Primary practice location
565 Route 25a
Miller Place, NY 11764-2663
Mailing address
86 Enfield CT Unit D
Ridge, NY 11961-1466
Phone (631) 219-4292
Other practice location 1
1490 William Floyd Pkwy Ste 106
Shirley, NY 11967-1820
Phone (631) 336-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090324 | NY | MD | Clinical Social Worker |
| 096871 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1568093185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 ENFIELD CT UNIT D",
"city": "RIDGE",
"state": "NY",
"postal_code": "119611466",
"telephone_number": "631-219-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ROUTE 25A",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642663",
"telephone_number": "631-219-4292"
}
],
"practiceLocations": [
{
"address_1": "1490 William Floyd Pkwy Ste 106",
"address_purpose": "LOCATION",
"city": "Shirley",
"state": "NY",
"postal_code": "119671820",
"country_code": "US",
"telephone_number": "631-336-9990",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEUFERT",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-02",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096871",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.