Paul McGuinness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102209 Issued in NY

Practice address

36 Edgar Ave
Brookhaven, NY 11719-9655

Phone

(631) 286-8282

Fax

(631) 438-0882

NPI assigned

Jul 23, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Southshore Counseling Mediation and Licensed Clinical Social Work Serv

  • Clinical Social Worker
  • Brookhaven, NY
  • NPI 1366684078

  NY

  Medicare reassignment

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1619705548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 EDGAR AVE",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199655",
            "telephone_number": "631-286-8282",
            "fax_number": "631-438-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EDGAR AVE",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199655",
            "telephone_number": "631-286-8282",
            "fax_number": "631-438-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINNESS",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Brianne Marcus, MS
• Shannon Rose Marshall, LCSW
• Stephen Christopher Marshall
• Cristina Marques Martins, M.A.
• Marcia McCarroll, LMSW
• Stephanie Miller, MS CCC/SLP
• Gina M Mitchell, LPN
• Kayla Anne Muglia, LCSW
• Lynette Alice Murphy, LMSW
• Karen Ann Ossip, R.N.

• All providers in Brookhaven, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.