Individual provider Active NPI

Dorothy Schaefer, LMSW

  • Social Worker
  • Shirley, NY
National Provider Identifier
1568233963
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
122375 Issued in NY
Practice address
2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833
Phone
(631) 696-4357
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 122375 NY Primary

Addresses

Primary practice location

2 Coraci Blvd Ste 15&16
Shirley, NY 11967-4833

Mailing address

1173 Orchid Cir
Bellport, NY 11713-3008
Phone (631) 488-8852

Other practice location 1

2157 Union Blvd
Bay Shore, NY 11706-8016
Phone (161) 563-1666

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
I20250716000262 NY Practitioner - Mental Health Counselor 1658886874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CS Medical Associates, PCGroup PAC ID 9335401454, 63 clinicians

Practice addresses (Care Compare)

2 Coraci Blvd
Suite 16
Shirley, NY 11967-4833
Phone (631) 696-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
122375NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CS Medical Associates, P.C. CurrentSince May 12, 2025 Accepting new patients
CS Medical Associates, P.C. CurrentSince May 12, 2025 Accepting new patients

Locations

100 Granny Rd
Ste 1
Farmingville, NY 11738
Phone (631) 666-1234

1377 Motor Pkwy
Ste 102
Islandia, NY 11749

2 Coraci Blvd
Ste 1516
Shirley, NY 11967
Phone (631) 315-2320

2 Coraci Blvd
Ste 16
Shirley, NY 11967

Interoperability endpoints

  • Direct secure messaging: dschaefer@victoryrecovery.medentdirect.com

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1568233963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 ORCHID CIR",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117133008",
            "telephone_number": "631-488-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD STE 15&16",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-696-4357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 Union Blvd",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068016",
            "country_code": "US",
            "telephone_number": "161-563-1666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "DOROTHY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "122375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

Verify at the official NPI Registry.