Active NPI
Annette Sasaki, LCSW
- Clinical Social Worker
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079110
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville-Pittsylvania Community Services | Current | Accepting new patients | |
| Long Island Select Healthcare, Inc. | Current | Accepting new patients | |
| Sun River Health Inc. | Current | Accepting new patients | |
| Sunrise Counseling Center,LTD | Clinical | Current | Accepting new patients |
| Long Island Select Healthcare, Inc. | Current | 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
- 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.
-
- Clinical Social Worker
- East Islip, NY
- NPI 1407871353
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Danville, VA
- NPI 1538120670
-
- Federally Qualified Health Center (FQHC)
- Central Islip, NY
- NPI 1043663107
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Port Jefferson, NY
- NPI 1902427941
-
- Clinical Social Worker
- Merrick, NY
- NPI 1609923515
-
- Federally Qualified Health Center (FQHC)
- Port Jefferson Station, NY
- NPI 1417300575
-
- Federally Qualified Health Center (FQHC)
- Peekskill, NY
- NPI 1619969458
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.