Individual provider Active NPI

Julie A Fabio, LCSW

  • Social Worker
  • Baldwin, NY
National Provider Identifier
1609192897
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
079551 Issued in NY
Practice address
2277 Grand Ave
Baldwin, NY 11510-3148
Phone
(516) 377-5400
Fax
(516) 377-5490
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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 079551 NY Primary

Addresses

Primary practice location

2277 Grand Ave
Baldwin, NY 11510-3148

Mailing address

2277 Grand Ave
Baldwin, NY 11510-3148
Phone (516) 377-5400

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
I20140203000906 NY Practitioner - Clinical Social Worker 1456580943 Reassigns benefits to 2 organizations
Practice locations: Lynbrook, NY; Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

74 Fire Island Ave
Babylon, NY 11702-3531
Phone (516) 322-0723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
079551NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a Fabio LCSW PC CurrentSince Apr 25, 2019 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Sep 28, 2017 Accepting new patients
Epic Long Island CurrentSince Sep 28, 2017 Accepting new patients

Locations

74 Fire Island Ave
Babylon, NY 11702
Phone (516) 231-2771

74 Fire Island Ave
Ste 1
Babylon, NY 11702
Phone (516) 322-0723

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

Organizations & group practices 3

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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1609192897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103148",
            "telephone_number": "516-377-5400",
            "fax_number": "516-377-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103148",
            "telephone_number": "516-377-5400",
            "fax_number": "516-377-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIO",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.