Individual provider Active NPI

Karen Chiel

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1679077341
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071808 Issued in NY
Practice address
747 3Rd Ave
New York, NY 10017-2803
Phone
(516) 883-6045
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 071808 NY
Clinical Social Worker 1041C0700X 071808 NY Primary

Addresses

Primary practice location

747 3Rd Ave
New York, NY 10017-2803

Mailing address

747 3Rd Ave
New York, NY 10017-2803

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
I20180417001077 NY Practitioner - Clinical Social Worker 0941563381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Island Elder Care LCSW PLLCGroup PAC ID 8224038286, 17 clinicians

Practice addresses (Care Compare)

51 Rose St
Smithtown, NY 11787-1052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071808NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Elder Care LCSW PLLC CurrentSince Jun 1, 2022 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Mar 1, 2018 Accepting new patients
Senior Living Behavioral Health, PLLC Clinical Past Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

747 3rd Ave
Fl 2
New York, NY 10017
Phone (516) 387-2375

Organizations & group practices 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1679077341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172803",
            "telephone_number": "516-883-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEL",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "071808",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.