Visiting Counselors of New York, LCSW, PLLC
Organization Active NPI Clinical Social Worker · Melville, NY
NPI 1669906889 · NPPES record last updated Jan 17, 2019
Key facts
- NPI
- 1669906889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 085396-1 (NY)
- Legal business name
- VISITING COUNSELORS OF NEW YORK, LCSW, PLLC
- Practice address
- 900 Walt Whitman Rd Ste LL1
Melville, NY 11747 - Phone
- (516) 698-5511
- Fax
- (516) 418-5377
- NPI assigned
- Apr 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Russell Chertok, LCSW
- Title
- Owner
- Phone
- (516) 698-5511
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 58
-
Michele Claire Albano, LCSW-R
-
Wendy Baur, LCSW
-
Alan Booth, LMSW
-
Russell James Chertok, LCSW
-
Kristen Ciaravolo, LCSW-R
-
Pamela J Day, LCSW
-
Leeann Barbara Grasso, LMSW
-
Olivia Blake Holden, LCSW
-
Lucia Jamaluddin, LCSW
-
Stephanie Koutsoftas, LCSW
-
Jacqueline Levine, LCSW
-
Maria Middendorf, MS, LCSW
-
Anita Miller, LMSW
-
Kerrie Ann Pelan, LCSW
-
Ashley Anne Petito, LCSW
-
Robert L Prochnow, LCSW-R
-
Cathy J Robins, LCSW
-
Lauren Rothman, LCSW
-
Maritza Juliet Santos, LMSW
-
Tashi Self, LCSW
-
Jean Treglia, LMSW
-
Marissa Vicari, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171211001077 | NY | Part B Supplier - Clinic/Group Practice | 4688932106 |
Receives reassigned benefits from 45 practitioners Practice locations: Melville, NY |
National Provider Directory
- Tax ID family
- Visiting Counselors of New York LCSW PLLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 085396-1 | NY | Yes |
Addresses
Primary practice location
900 Walt Whitman Rd Ste LL1
Melville, NY 11747
Mailing address
900 Walt Whitman Rd Ste LL1
Melville, NY 11747-2215
Phone (516) 698-5511
Other practice location 1
3 Wren Dr
Hauppauge, NY 11788-1106
Phone (516) 698-5511
Other providers in Melville, NY
- Suzanne Villani
- Keri Villano
- Anjali Vira
- Ashley Virga
- Vishveshwar S Batheja Huntington Dental Center
- Visiting Counselors, LCSW, PLLC
- Vital Wellness Group LLC
- Melissa C Vitale
- Vitara Supply Inc.
- Leticia Vitucci
All providers in Melville, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.