Jill C Holstein

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R059594-1 Issued in NY

Practice address

53 Grove St
Glenwood Landing, NY 11547-3061

Phone

(516) 376-3885

Fax

(631) 946-6101

NPI assigned

Apr 22, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dawn Friedland-Perez, LCSW, P.C.

  • Clinical Social Worker
  • Port Jefferson Station, NY
  • NPI 1790711224

  Clinical, NY

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1669799227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 GROVE ST",
            "address_2": "PO BOX 218",
            "city": "GLENWOOD LANDING",
            "state": "NY",
            "postal_code": "115473061",
            "telephone_number": "516-376-3885",
            "fax_number": "631-946-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 GROVE ST",
            "city": "GLENWOOD LANDING",
            "state": "NY",
            "postal_code": "115473061",
            "telephone_number": "516-376-3885",
            "fax_number": "631-946-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "JILL",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059594-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Fontana, RN
• Glenwood H&L E&H Co Inc
• Barbara Goldfarb-Seles
• Amy Haas, D.O.
• Melissa Alexandra Hart
• Tahera Hyder, MSED
• Colleen Kottenbach-Plassman, RN
• Joshua Philip Levine, LCSW
• Marina Orphanides Mental Health Counseling PLLC
• Megan McCann

• All providers in Glenwood Landing, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.

Verify at the official NPI Registry.