Active NPI
Sherry D Persky, LCSW
- Social Worker
- Ozone Park, NY
National Provider Identifier
1710998323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00053373
- Practice address
- 108-19 Rockaway Blvd
Ozone Park, NY 11420 - Phone
- (718) 845-2620
- Fax
- (718) 845-9380
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00053373 | NY | Primary |
Addresses
Primary practice location
108-19 Rockaway Blvd
Ozone Park, NY 11420
Mailing address
1419 Sylvan Lane
East Meadow, NY 11554
Phone (516) 486-2941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00053373 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1419 Sylvan LN
East Meadow, NY 11554-4813
Phone (516) 521-4980
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00053373 | NY | MD | Social Worker |
| 053373 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Counseling Center Inc | Current | Accepting new patients |
Locations
10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1710998323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 SYLVAN LANE",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-486-2941",
"fax_number": "718-845-9380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108-19 ROCKAWAY BLVD",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "11420",
"telephone_number": "718-845-2620",
"fax_number": "718-845-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSKY",
"first_name": "SHERRY",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "00053373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00053373",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.