Individual provider Active NPI

Joanne Milito, LCSW

  • Clinical Social Worker
  • Lindenhurst, NY
National Provider Identifier
1639151822
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0576661 Issued in NY
Practice address
34 Inlet Dr
Lindenhurst, NY 11757-6805
Phone
(631) 225-4066
Fax
(631) 957-0458
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0576661 NY
Clinical Social Worker 1041C0700X 0576661 NY Primary

Addresses

Primary practice location

34 Inlet Dr
Lindenhurst, NY 11757-6805

Mailing address

34 Inlet Dr
Lindenhurst, NY 11757-6805
Phone (631) 225-4066

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
I20040604000837 NY Practitioner - Clinical Social Worker 8729060454 Practice locations: Lindenhurst, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

34 Inlet Dr
Lindenhurst, NY 11757-6805
Phone (631) 813-7341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0576661NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heart & Soul Community Counseling Clinical PastSince May 8, 2019 Accepting new patients

Organizations & group practices 1

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1639151822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 INLET DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576805",
            "telephone_number": "631-225-4066",
            "fax_number": "631-957-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 INLET DR",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576805",
            "telephone_number": "631-225-4066",
            "fax_number": "631-957-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILITO",
        "first_name": "JOANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0576661",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0576661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

Verify at the official NPI Registry.