Individual provider Active NPI

Karen Flanagan, LCSW-R

  • Clinical Social Worker
  • Center Moriches, NY
National Provider Identifier
1689090763
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R071934-1 Issued in NY
Practice address
220 Main St
Center Moriches, NY 11934-3516
Phone
(631) 874-2700
NPI assigned
Mar 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R071934-1 NY Primary

Addresses

Primary practice location

220 Main St
Center Moriches, NY 11934-3516

Mailing address

10 Widgeon Rd
Center Moriches, NY 11934-3720
Phone (631) 874-2954

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
I20141126000040 NY Practitioner - Clinical Social Worker 6002138260 Reassigns benefits to 3 organizations
Practice locations: Center Moriches, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
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
R071934-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & LCSW Services PC Clinical CurrentSince Feb 25, 2019 Accepting new patients
Long Island Elder Care LCSW PLLC CurrentSince Dec 16, 2025 Accepting new patients
Jennifer Ufko, LCSW, PLLC Clinical CurrentSince Nov 15, 2022 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients

Locations

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

111 Smithtown Byp
Ste 207
Hauppauge, NY 11788
Phone (631) 360-3752

Organizations & group practices 4

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": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1689090763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WIDGEON RD",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343720",
            "telephone_number": "631-874-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343516",
            "telephone_number": "631-874-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "KAREN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071934-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Moriches, NY

Sources for this page

Verify at the official NPI Registry.