Elizabeth P Degrocco, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069536-1 Issued in NY

Practice address

1490 William Floyd Pkwy
East Yaphank, NY 11967-1820

Phone

(631) 924-3741

Fax

(631) 924-2413

NPI assigned

Mar 29, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619096427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 PARK AVE",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434516",
            "telephone_number": "631-427-3700",
            "fax_number": "631-427-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 WILLIAM FLOYD PKWY",
            "city": "EAST YAPHANK",
            "state": "NY",
            "postal_code": "119671820",
            "telephone_number": "631-924-3741",
            "fax_number": "631-924-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGROCCO",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069536-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00659412",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittni Traina, LCSW, PLLC
• Melinda Susan Burger, LPN
• Kole Castro, MS, CCC-SLP, TSSLD
• Nancy Bridget Costantino, M.A., CCC-SLP
• Thomas M Doxsee, MSOTR/L
• Joanne Duran, LAC,LMT,LPN
• Eastern Li Speech Pathology &Swallowing Disorders PC
• Evelyn G Edwards, LCSW
• Family Counseling Services

• Clinical Social Worker in East Yaphank, NY
• Providers in East Yaphank, NY by specialty
• Clinical Social Worker 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.