Individual provider Active NPI

Gerard Galton Vansluytman, LCSW

  • Clinical Social Worker
  • Freeport, NY
National Provider Identifier
1629344080
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093402 Issued in NY
Practice address
91 Guy Lombardo Avenue
Freeport, NY 11520
Phone
(516) 868-3033
NPI assigned
Mar 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072388 NY
Clinical Social Worker 1041C0700X 093402 NY Primary

Addresses

Primary practice location

91 Guy Lombardo Avenue
Freeport, NY 11520

Mailing address

1867 Browning Street
Baldwin, NY 11510
Phone (917) 207-2075

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
I20230314002951 NY Practitioner - Clinical Social Worker 5496129413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Long IslandGroup PAC ID 7315835907, 43 clinicians

Practice addresses (Care Compare)

114 Church St
Freeport, NY 11520-3833
Phone (516) 868-3030

1500 Hempstead Tpke
East Meadow, NY 11554-1551
Phone 5167397733420

1500 Hempstead Turnpike
East Meadow, NY 11554-1551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072388NYMDClinical Social Worker
093402NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Long Island CurrentSince Jan 1, 2023 Accepting new patients
South Shore Child Association Incorporated CurrentSince Jan 1, 2023 Accepting new patients
South Shore Child Association Incorporated CurrentSince Jun 1, 2023 Accepting new patients
Epilepsy Foundation of L.I. CurrentSince Jan 1, 2023 Accepting new patients

Locations

1500 Hempstead Tpke
East Meadow, NY 11554
Phone 51673977331420

114 Church St
Freeport, NY 11520
Phone (516) 868-3030

Organizations & group practices 4

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1629344080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 BROWNING STREET",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "11510",
            "telephone_number": "917-207-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GUY LOMBARDO AVENUE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "11520",
            "telephone_number": "516-868-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSLUYTMAN",
        "first_name": "GERARD",
        "middle_name": "GALTON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072388",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.