Individual provider Active NPI

Nancy Sue Streitman, LCSW

  • Clinical Social Worker
  • Syosset, NY
National Provider Identifier
1710041439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR031009-1 Issued in NY
Practice address
36 Hicks Ave
Syosset, NY 11791-5838
Phone
(516) 921-8148
Fax
(516) 921-8148
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PR031009-1 NY Primary

Addresses

Primary practice location

36 Hicks Ave
Syosset, NY 11791-5838

Mailing address

36 Hicks Ave
Syosset, NY 11791-5838
Phone (516) 921-8148

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
I20060111001182 NY Practitioner - Clinical Social Worker 8820011216 Practice locations: Syosset, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

36 Hicks Ave
Syosset, NY 11791-5838
Phone (516) 921-8148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR031009-1NYMDClinical Social Worker
031009NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710041439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HICKS AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915838",
            "telephone_number": "516-921-8148",
            "fax_number": "516-921-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HICKS AVE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915838",
            "telephone_number": "516-921-8148",
            "fax_number": "516-921-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREITMAN",
        "first_name": "NANCY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR031009-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.