Active NPI
Julie Patyk, LCSW
- Clinical Social Worker
- Garden City, NY
National Provider Identifier
1700128683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 089564
- Practice address
- 205 Meadbrook Rd
Garden City, NY 11530-1210 - Phone
- (973) 943-1152
- NPI assigned
- Mar 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 103848-1 | NY | |
| Clinical Social Worker | 1041C0700X | 089564 | NY | Primary |
Addresses
Primary practice location
205 Meadbrook Rd
Garden City, NY 11530-1210
Mailing address
205 Meadbrook Rd
Garden City, NY 11530-1210
Phone (973) 943-1152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103848-1 | NY | MD | Social Worker |
| 089564 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1700128683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MEADBROOK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301210",
"telephone_number": "973-943-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MEADBROOK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115301210",
"telephone_number": "973-943-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATYK",
"first_name": "JULIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103848-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "089564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
- Patient Services Reimagined Corp
- Ritika P Patil, MD
- Patrick F. Vetere MD Facog PC
- Patrick J. Derosa MD Long Island Sports and Orthopedic Therapy Center
- Maureen Kathleen Patrickakos, NP
- Paul a. Dreschnack, MD, P.C.
- Paul R Byrne MD PC
- Miriam Pavlovsky, RN, AGPCNP
- Pediatric Dentistry of Nassau County PLLC
- Jacqueline Pedro, M.S. ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.