Individual provider Active NPI

Sharon Elise Prager, MA, LCSW

  • Clinical Social Worker
  • Liberty, NY
National Provider Identifier
1689972176
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
155 N Main St
Liberty, NY 12754
Phone
(631) 831-2271
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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 Primary

Addresses

Primary practice location

155 N Main St
Liberty, NY 12754

Mailing address

155 N Main St
Liberty, NY 12754-1864
Phone (631) 831-2271

Other practice location 1

414 S Service Rd
#226
Patchogue, NY 11772-2254
Phone (631) 831-2271

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
I20190820002629 NY Practitioner - Clinical Social Worker 3072841741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Calm Seas Psychotherapy LCSW PLLCGroup PAC ID 9830425867, 5 clinicians

Practice addresses (Care Compare)

11700 Main Rd
Suite 1
Mattituck, NY 11952-1525
Phone (888) 975-2256

28 N Country Rd
Suite 203
Mount Sinai, NY 11766-1518
Phone (888) 975-2256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Seas Psychotherapy, LCSW,PLLC Clinical CurrentSince Jun 17, 2019 Accepting new patients
Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC PastSince Sep 1, 2022 Accepting new patients
Heal Safe Inc Clinical Past Accepting new patients

Locations

295 Main St
Rm 766
Buffalo, NY 14203
Phone (888) 975-2256

155 N Main St
Liberty, NY 12754
Phone (888) 975-2256

11700 Main Rd
Ste 1
Mattituck, NY 11952
Phone (631) 624-7839

28 N Country Rd
Ste 203
Mount Sinai, NY 11766
Phone (631) 759-4304

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1689972176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MAIN ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "127541864",
            "telephone_number": "631-831-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MAIN ST",
            "city": "LIBERTY",
            "state": "NY",
            "postal_code": "12754",
            "telephone_number": "631-831-2271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 S Service Rd",
            "address_2": "#226",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117722254",
            "country_code": "US",
            "telephone_number": "631-831-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAGER",
        "first_name": "SHARON",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, NY

Sources for this page

Verify at the official NPI Registry.