Individual provider Active NPI

Nicholas Dipietro

  • Clinical Social Worker
  • Hicksville, NY
National Provider Identifier
1710434584
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
90867 Issued in NY
Practice address
180 Broadway
Hicksville, NY 11801
Phone
(516) 935-6858
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 90867 NY Primary

Addresses

Primary practice location

180 Broadway
Hicksville, NY 11801

Mailing address

7 Prospect Dr
Huntington Station, NY 11746

Other practice location 1

126 N Franklin St
Hempstead, NY 11550-1318
Phone (516) 486-7200

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
I20210519001068 NY Practitioner - Clinical Social Worker 5597164855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

180 Broadway
Unit 2
Hicksville, NY 11801-4230
Phone (516) 935-6858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090867NYMDSocial Worker
90867NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family and Children'S Association - Linkage CurrentSince Feb 16, 2021 Accepting new patients
Family and Children'S Association - Hicksville CurrentSince Feb 16, 2021 Accepting new patients

Locations

377 Oak St
Fl 5
Garden City, NY 11530
Phone (516) 292-1300

126 N Franklin St
Hempstead, NY 11550
Phone (516) 486-7200

180 Broadway
Fl 2
Hicksville, NY 11801
Phone (516) 935-6858

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1710434584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PROSPECT DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "11746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-935-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115501318",
            "country_code": "US",
            "telephone_number": "516-486-7200",
            "fax_number": "516-486-7291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPIETRO",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "90867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.