Individual provider Active NPI

Christine Mary Machlica, LCSW

  • Social Worker
  • Commack, NY
National Provider Identifier
1578789012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0500301 Issued in NY
Practice address
66 Havrid Rd
Commack, NY 11725
Phone
(516) 313-3397
Fax
(516) 543-8573
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0500301 NY Primary

Addresses

Primary practice location

66 Havrid Rd
Commack, NY 11725

Mailing address

43 Ashland Dr
Kings Park, NY 11754
Phone (631) 366-0469

Other identifiers 1

IdentifierTypeStateIssuer
P2579650OtherNYOXFORD

Other names 1

  • Christine Mary Froehlich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 23, 2026 through Mar 23, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

43 Ashland Dr
Kings Park, NY 11754-4018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0500301NYMDSocial Worker
050030NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578789012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 ASHLAND DR",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "11754",
            "telephone_number": "631-366-0469",
            "fax_number": "631-543-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 HAVRID RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "11725",
            "telephone_number": "516-313-3397",
            "fax_number": "516-543-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHLICA",
        "first_name": "CHRISTINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0500301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2579650",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "FROEHLICH",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.