Individual provider Active NPI

Malgorzata Lidia Barbach, LCSW-R

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1710453451
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086984 Issued in NY
Practice address
21 Redwood LN
Smithtown, NY 11787-2718
Phone
(631) 331-2176
Fax
(631) 792-8311
NPI assigned
Oct 20, 2018
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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 086984 NY Primary

Addresses

Primary practice location

21 Redwood LN
Smithtown, NY 11787-2718

Mailing address

21 Redwood LN
Smithtown, NY 11787-2718
Phone (631) 331-2176

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
I20211029000287 NY Practitioner - Clinical Social Worker 6305234089 Practice locations: Smithtown, NY; West Babylon, NY; Woodbury, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21 Redwood LN
Smithtown, NY 11787-2718
Phone (631) 331-2176

580 Montalk Hwy
West Babylon, NY 11704-8307
Phone (631) 331-2176

900 Woodbury Rd
Woodbury, NY 11797-2536
Phone (631) 331-2176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Change Psychiatry PLLC Past Accepting new patients
Michael Bishai MD, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1710453451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 REDWOOD LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872718",
            "telephone_number": "631-331-2176",
            "fax_number": "631-792-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 REDWOOD LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872718",
            "telephone_number": "631-331-2176",
            "fax_number": "631-792-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBACH",
        "first_name": "MALGORZATA",
        "middle_name": "LIDIA",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-20",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.