Individual provider Active NPI

Linda Sleszynski, LCSW

  • Clinical Social Worker
  • Hauppauge, NY
National Provider Identifier
1609915438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P055675 Issued in NY
Practice address
140 Fell CT
Suite 120a
Hauppauge, NY 11788-4360
Phone
(631) 754-7837
Fax
(631) 300-3501
NPI assigned
Feb 6, 2007
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
Clinical Social Worker 1041C0700X P055675 NY Primary

Addresses

Primary practice location

140 Fell CT
Suite 120a
Hauppauge, NY 11788-4360

Mailing address

140 Fell CT
Suite 120a
Hauppauge, NY 11788-4360
Phone (631) 754-7837

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
I20071219000542 NY Practitioner - Clinical Social Worker 3173613734 Practice locations: Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Redwood Lane
Smithtown, NY 11787-2718

21 Redwood LN
Smithtown, NY 11787-2718
Phone (631) 754-7837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P055675NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609915438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FELL CT",
            "address_2": "SUITE 120A",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884360",
            "telephone_number": "631-754-7837",
            "fax_number": "631-300-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FELL CT",
            "address_2": "SUITE 120A",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884360",
            "telephone_number": "631-754-7837",
            "fax_number": "631-300-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLESZYNSKI",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P055675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.