Individual provider Active NPI

Robert L Prochnow, LCSW-R

  • Clinical Social Worker
  • Melville, NY
National Provider Identifier
1689388308
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
900 Walt Whitman Rd Ste LL1
Melville, NY 11747-2215
Phone
(516) 698-5511
Fax
(516) 418-5377
NPI assigned
Jan 9, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

900 Walt Whitman Rd Ste LL1
Melville, NY 11747-2215

Mailing address

56 Ferndale Rd
Rocky Point, NY 11778-9127

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
I20230125003352 NY Practitioner - Clinical Social Worker 6103297361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visiting Counselors of New York, LCSW, PLLC 26 clinicians

Practice addresses (Care Compare)

900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Counselors of New York, LCSW, PLLC Clinical CurrentSince Jan 6, 2023 Accepting new patients

Locations

900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511

Organizations & group practices 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1689388308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FERNDALE RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117789127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD STE LL1",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472215",
            "telephone_number": "516-698-5511",
            "fax_number": "516-418-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCHNOW",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.