Emily Perednia, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1074584 Issued in NY

Practice address

296 N Main St
Sayville, NY 11782-2550

Phone

(631) 472-2629

NPI assigned

Oct 9, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Great South Bay Therapy LCSW PC

  • Clinical Social Worker
  • Bayport, NY
  • NPI 1710468517
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1598307779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 RIVERSIDE AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013733",
            "telephone_number": "516-680-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 N MAIN ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117822550",
            "telephone_number": "631-472-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sayville",
            "state": "NY",
            "postal_code": "117822550",
            "country_code": "US",
            "telephone_number": "631-472-2629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREDNIA",
        "first_name": "EMILY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "1074584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optika Eyes LTD
• Casey Ottens
• Cami Ann Palmese, RPH
• Michele Patrice Pasquale, MA CCC-SLP
• Catherine Mary Pennello, PHD
• Judith Barbara Perlmutter, L.M.S.W.
• Holly Dawn Petersen
• Petite Fleur Nursing Home
• Karen Petrosino, R,N,
• Philip Degaetano D.O.P.C.

• Social Worker in Sayville, NY
• Providers in Sayville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.