Individual provider Active NPI

Aviv Winer, LCSW

  • Clinical Social Worker
  • South Setauket, NY
National Provider Identifier
1578046744
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
10 Tyburn LN
South Setauket, NY 11720-1428
Phone
(516) 698-5511
Fax
(516) 418-5377
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 Primary

Addresses

Primary practice location

10 Tyburn LN
South Setauket, NY 11720-1428

Mailing address

10 Tyburn LN
South Setauket, NY 11720-1428
Phone (516) 698-5511

Other names 1

  • Aviv Dor Former name

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
I20181002002236 NY Practitioner - Clinical Social Worker 5294087292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Debra Kuhn Psychological Services, PCGroup PAC ID 5092872838, 2 clinicians

Practice addresses (Care Compare)

140 S Windsor Ave
Brightwaters, NY 11718-1506
Phone (631) 666-3354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Kuhn Psychological Services, PC CurrentSince Jul 1, 2020 Accepting new patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince Sep 10, 2018 Accepting new patients
Visiting Counselors, LCSW, PLLC Clinical Past Accepting new patients
Nancy F Solomon, LCSW, P.C. Clinical PastSince Jul 1, 2020 Accepting new patients

Locations

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 4

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1578046744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TYBURN LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201428",
            "telephone_number": "516-698-5511",
            "fax_number": "516-418-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TYBURN LN",
            "city": "SOUTH SETAUKET",
            "state": "NY",
            "postal_code": "117201428",
            "telephone_number": "516-698-5511",
            "fax_number": "516-418-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINER",
        "first_name": "AVIV",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVIV",
            "last_name": "DOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Setauket, NY

Sources for this page

Verify at the official NPI Registry.