Organization Active NPI

Parientes of Suffolk, LCSW PC

  • Clinical Social Worker
  • Bay Shore, NY
National Provider Identifier
1689881336
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PARIENTES OF SUFFOLK, LCSW PC
Practice address
160 Howells Rd.
Bay Shore, NY 11706
Phone
(631) 665-0229
Fax
(631) 665-0442
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Sylvia Smith, LCSW
Title
Ceo
Phone
(631) 665-0229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NY Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

160 Howells Rd.
Bay Shore, NY 11706

Mailing address

3 Whitewood Drive
Rocky Point, NY 11778
Phone (631) 665-0229

Other names 1

  • Parientes of Suffolk CSW PC Former legal business name

National Provider Directory

National Provider Directory

Locations

160 Howells Rd
Ste 7
Bay Shore, NY 11706
Phone (631) 377-1061

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1689881336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WHITEWOOD DRIVE",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "11778",
            "telephone_number": "631-665-0229",
            "fax_number": "631-665-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOWELLS RD.",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-0229",
            "fax_number": "631-665-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIENTES OF SUFFOLK, LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-665-0229",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parientes of Suffolk CSW PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.