Kristin Leigh Dugan-Reilly

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070162 Issued in NY

Practice address

100 Horseblock Rd
Centereach, NY 11720-4385

Phone

(631) 737-8192

NPI assigned

Nov 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long Island Elder Care LCSW PLLCGroup PAC ID 8224038286, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Long Island Elder Care LCSW PLLC

  • Social Worker
  • Smithtown, NY
  • NPI 1295763852

  NY

  Medicare reassignment Care Compare group NPD
• Long Island Adolescent & Family Service,Inc

  • Health Service Clinic/Center
  • Stony Brook, NY
  • NPI 1992901722
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1699310797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 DEER PARK AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117021923",
            "telephone_number": "516-242-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HORSEBLOCK RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204385",
            "telephone_number": "631-737-8192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 Old Town Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117764236",
            "country_code": "US",
            "telephone_number": "631-476-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1173 N Country Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117901916",
            "country_code": "US",
            "telephone_number": "631-444-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1413 Stony Brook Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117902214",
            "country_code": "US",
            "telephone_number": "631-444-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAN-REILLY",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070162-02",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane J Dominico, RIGISTERED NURSE
• Margaret Ann Donaldson, RN
• Sarah Donaldson, CCC SLP
• Stacy M Donarumma
• William Patrick Duffy, R.N.
• Arlene Dunlop, LCSW
• East End Neuropsychiatric Associates PC
• Sandra Ann Edwards, N.P.
• Joanna Efstathiou-Dittmar, DPT
• Empire Vision Center Inc

• Clinical Social Worker in Centereach, NY
• Providers in Centereach, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.