Delores Bocklet, LCSW-R, CASAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

R-044537-1 Issued in NY

Practice address

401 Main St
Islip, NY 11751-3560

Phone

(631) 224-5330

NPI assigned

Feb 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 3

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Town of Islip

  • Addiction (Substance Use Disorder) Counselor
  • Brentwood, NY
  • NPI 1215029004
  Authorized official Same address or phone
• Town of Islip

  • Addiction (Substance Use Disorder) Counselor
  • Islip, NY
  • NPI 1548369143
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609917095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 REDWOOD DR",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "11739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513560",
            "telephone_number": "631-224-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKLET",
        "first_name": "DELORES",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "R-044537-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ,HIP",
            "identifier": "129255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "7408265",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2739447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khadim Hussain Betts, PT
• Lauren Betz, L.M.S.W.
• Prashant Bhenswala, MD, MSCR
• Lily Alessandra Bilello
• Chelsea Rae Bjornsson, LPMHC
• Marisa Bonventre, OTR
• Georgiana Borda
• Tracey Maria Boriel, BA
• Robert Anthony Bottner, D.D.S.
• Christina Bozza, LMSW

• Counselor in Islip, NY
• Providers in Islip, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.