NPIMap

Organization Active NPI

Sage Hill Counseling Psychotherapy Social Work LCSW PC.

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1700937448
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039383-1 Issued in NY
Legal business name
SAGE HILL COUNSELING PSYCHOTHERAPY SOCIAL WORK LCSW PC.
Practice address
823 W Jericho Tpke Ste 1C
Smithtown, NY 11787-3214
Phone
(516) 238-3377
Fax
(631) 543-0654
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Mrs. Debbie C Toscano, L.C.S.W.NPI 1356498711
Title
President
Phone
(516) 238-3377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R039383-1 NY Primary

Addresses

Primary practice location

823 W Jericho Tpke Ste 1C
Smithtown, NY 11787-3214

Mailing address

10120 Langley Farm LN
Locust Grove, VA 22508-9622
Phone (516) 238-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001209 NY Part B Supplier - Clinic/Group Practice 3375433790 Receives reassigned benefits from 1 practitioner
Practice locations: Smithtown, NY

National Provider Directory

National Provider Directory

Locations

54 Sunnyside Blvd
Ste F
Plainview, NY 11803
Phone (516) 349-0355

823 W Jericho Tpke
Ste 1C
Smithtown, NY 11787
Phone (516) 238-3377

823 W Jericho Tpke
Ste 8C
Smithtown, NY 11787
Phone (516) 238-3377

Practitioners & affiliated clinicians

Practitioners 10

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1700937448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 LANGLEY FARM LN",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225089622",
            "telephone_number": "516-238-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W JERICHO TPKE STE 1C",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873214",
            "telephone_number": "516-238-3377",
            "fax_number": "631-543-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE HILL COUNSELING PSYCHOTHERAPY SOCIAL WORK LCSW PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "TOSCANO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-238-3377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.