Individual provider Active NPI

Garry Marc Werner, LCSW-P

  • Social Worker
  • New Hyde Park, NY
National Provider Identifier
1639409600
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P065154-1 Issued in NY
Practice address
59 Lawrence Street
New Hyde Park, NY 11040-1752
Phone
(516) 659-4093
Fax
(516) 328-7236
NPI assigned
Jan 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X P065154-1 NY Primary

Addresses

Primary practice location

59 Lawrence Street
New Hyde Park, NY 11040-1752

Mailing address

59 Lawrence Street
New Hyde Park, NY 11040-1752
Phone (516) 659-4093

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
I20040517001531 NY Practitioner - Clinical Social Worker 6901896596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone (718) 665-7565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P065154-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
United Cerebral Palsy Associations of New York State, Inc. CurrentSince Jun 1, 2015 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc Current Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. CurrentSince Jun 1, 2015 Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Locations

979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009

921 E New York Ave
#C
Brooklyn, NY 11203
Phone (718) 778-8587

40 Rector St
Fl 15
New York, NY 10006
Phone (929) 647-4796

2324 Forest Ave
Staten Island, NY 10303
Phone (718) 447-0200

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1639409600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 LAWRENCE STREET",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401752",
            "telephone_number": "516-659-4093",
            "fax_number": "516-328-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 LAWRENCE STREET",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110401752",
            "telephone_number": "516-659-4093",
            "fax_number": "516-328-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER",
        "first_name": "GARRY",
        "middle_name": "MARC",
        "name_prefix": "Mr.",
        "credential": "LCSW-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P065154-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.