Individual provider Active NPI

Bruce Kenneth Darroch, LCSW

  • Clinical Social Worker
  • West Babylon, NY
National Provider Identifier
1568612158
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075939-1 Issued in NY
Practice address
693 Elmwood Rd
West Babylon, NY 11704-6908
Phone
(631) 793-6913
NPI assigned
Sep 19, 2008
Last updated
Sep 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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 075939-1 NY Primary

Addresses

Primary practice location

693 Elmwood Rd
West Babylon, NY 11704-6908

Mailing address

693 Elmwood Rd
West Babylon, NY 11704-6908
Phone (631) 793-6913

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
I20100922001093 NY Practitioner - Clinical Social Worker 5991821399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21 4TH Ave
Bay Shore, NY 11706-7908
Phone (631) 665-6707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
075939-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Aug 2, 2010 Accepting new patients
Catholic Charities of the Diocese of Rockville Centre CurrentSince Aug 2, 2010 Accepting new patients

Locations

21 4th Ave
Bay Shore, NY 11706
Phone (631) 665-6707

9 4th Ave
Bay Shore, NY 11706
Phone (631) 665-6707

333 N Main St
Freeport, NY 11520
Phone (516) 623-3322

90 Cherry Ln
Hicksville, NY 11801
Phone (516) 733-7040

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, 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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1568612158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 ELMWOOD RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046908",
            "telephone_number": "631-793-6913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 ELMWOOD RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046908",
            "telephone_number": "631-793-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARROCH",
        "first_name": "BRUCE",
        "middle_name": "KENNETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075939-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.