Calming Waters LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CALMING WATERS LCSW

Practice address

1560 Westview Dr
Mattituck, NY 11952-2950

Phone

(631) 655-5171

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Lisa MoscatoNPI 1316565153

Title

Owner

Phone

(631) 655-5171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, MA2 enrollments

Enrollment records 2

Practitioners 1

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

• Lisa Moscato, LCSW

  • Clinical Social Worker
  • Mattituck, NY
  • NPI 1316565153

  Clinical, MA, NY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1699599746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119520922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 WESTVIEW DR",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522950",
            "telephone_number": "631-655-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMING WATERS LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "MOSCATO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-655-5171"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Becker
• Holly A Berdinka, MPT
• Alex Boukas, DDS
• Geraldine Anne Brodarick, RN
• Luigi Buono, DO
• Ava Cardinale
• Cynthia Carlson, M.D.
• Philip J Centonze, DMD
• Christopher Showalter PT PC
• Emily Ciamaricone

• All providers in Mattituck, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.