Individual provider Active NPI

Annette Sasaki, LCSW

  • Clinical Social Worker
  • Ronkonkoma, NY
National Provider Identifier
1669650206
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079110 Issued in NY
Practice address
31 Village Plaza Dr
Ronkonkoma, NY 11779-6273
Phone
(516) 639-8850
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904016827 VA
Clinical Social Worker 1041C0700X 079110 NY Primary

Addresses

Primary practice location

31 Village Plaza Dr
Ronkonkoma, NY 11779-6273

Mailing address

31 Village Plaza Dr
Ronkonkoma, NY 11779-6273
Phone (516) 639-8850

Other practice location 1

245 Hairston St
Danville, VA 24540-4137
Phone (434) 799-0456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150610000447 NY Practitioner - Clinical Social Worker 9638490048 Reassigns benefits to 5 organizations
I20240702001904 VA Practitioner - Clinical Social Worker 9638490048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunrise Counseling Center,LTDGroup PAC ID 8224210232, 20 clinicians
Danville Pittsylvania Community ServicesGroup PAC ID 6608760046, 8 clinicians

Practice addresses (Care Compare)

107 W Main St
East Islip, NY 11730-2337
Phone (631) 666-1615

245 Hairston St
Danville, VA 24540-4137
Phone (434) 799-0456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danville-Pittsylvania Community Services CurrentSince Jul 1, 2024 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sun River Health Inc. CurrentSince Apr 4, 2017 Accepting new patients
Sunrise Counseling Center,LTD Clinical CurrentSince Jan 1, 2019 Accepting new patients
Long Island Select Healthcare, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sun River Health Inc Current Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

107 W Main St
East Islip, NY 11730
Phone (631) 666-1615

120 Plant Ave
Hauppauge, NY 11788
Phone (631) 273-1300

1037 Main St
Peekskill, NY 10566
Phone (914) 734-8800

245 Hairston St
Danville, VA 24540
Phone (434) 799-0456

515 Rison St
Danville, VA 24541
Phone (434) 793-5500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Organizations & group practices 8

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1669650206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 VILLAGE PLAZA DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796273",
            "telephone_number": "516-639-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 VILLAGE PLAZA DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796273",
            "telephone_number": "516-639-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Hairston St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404137",
            "country_code": "US",
            "telephone_number": "434-799-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016827",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.