Individual provider Active NPI

Erin Wirth

  • Social Worker
  • Copiague, NY
National Provider Identifier
1609388305
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
099681 Issued in NY
Practice address
1375 Akron St
Copiague, NY 11726-2931
Phone
(631) 552-4240
NPI assigned
Nov 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 099681 NY Primary

Addresses

Primary practice location

1375 Akron St
Copiague, NY 11726-2931

Mailing address

5 Cottage PL
Amityville, NY 11701-3119
Phone (516) 238-0355

Other practice location 1

5 Cottage Pl
Amityville, NY 11701-3119
Phone (631) 321-8229 ext. 1270

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
I20241224000101 NY Practitioner - Clinical Social Worker 4284161647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

400 Community Dr
Manhasset, NY 11030-3815
Phone (516) 472-0597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099681NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John'S Medical Services PC CurrentSince Dec 1, 2024 Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

521 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 864-8822

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: erin.wirth.1@14448.direct.athenahealth.com

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": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609388305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COTTAGE PL",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117013119",
            "telephone_number": "516-238-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 AKRON ST",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117262931",
            "telephone_number": "631-552-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Cottage Pl",
            "address_purpose": "LOCATION",
            "city": "Amityville",
            "state": "NY",
            "postal_code": "117013119",
            "country_code": "US",
            "telephone_number": "631-321-8229 x1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copiague, NY

Sources for this page

Verify at the official NPI Registry.