Individual provider Active NPI

Terence O'Gara, LCSW

  • Clinical Social Worker
  • Mamaroneck, NY
National Provider Identifier
1578705182
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078406 Issued in NY
Practice address
1600 Harrison Ave Ofc G104-3
Mamaroneck, NY 10543
Phone
(917) 853-9207
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 078406 NY Primary

Addresses

Primary practice location

1600 Harrison Ave Ofc G104-3
Mamaroneck, NY 10543

Mailing address

1600 Harrison Ave Ofc G104-3
Mamaroneck, NY 10543-3145
Phone (917) 853-9207

Other practice location 1

2021 Grand Concourse
Bronx, NY 10453-4304
Phone (718) 960-0389

Other practice location 2

2021 Grand Concourse
Bronx, NY 10453-4304
Phone (718) 960-0389

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
I20131022002316 NY Practitioner - Clinical Social Worker 3072748300 Practice locations: Mamaroneck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 Harrison Ave
Suite G105 4
Mamaroneck, NY 10543-3145
Phone (917) 853-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Terence O'Gara, LCSW, PC Clinical CurrentSince Oct 20, 2019 Accepting new patients
Ilana Slaff Medical PLLC PastSince Oct 6, 2018 Accepting new patients

Locations

1600 Harrison Ave
Ste G1043
Mamaroneck, NY 10543
Phone (917) 853-9207

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1578705182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE OFC G104-3",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433145",
            "telephone_number": "917-853-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HARRISON AVE OFC G104-3",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "10543",
            "telephone_number": "917-853-9207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534304",
            "country_code": "US",
            "telephone_number": "718-960-0389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2021 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534304",
            "country_code": "US",
            "telephone_number": "718-960-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'GARA",
        "first_name": "TERENCE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

Verify at the official NPI Registry.