Individual provider Active NPI

Janet Sheryl Philbin, LCSW

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1720060403
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043258-1 Issued in NY
Practice address
155 E. Main Street
Suite 170
Smithtown, NY 11787-2832
Phone
(516) 639-6286
Fax
(631) 979-3710
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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 R043258-1 NY Primary

Addresses

Primary practice location

155 E. Main Street
Suite 170
Smithtown, NY 11787-2832

Mailing address

36 Derby PL
Smithtown, NY 11787-1328
Phone (516) 639-6286

Other identifiers 3

IdentifierTypeStateIssuer
P2482807OtherNYOXFORD PROVIDER NUMBER
7108202OtherNYAETNA PROVIDER NUMBER
7482941OtherNYGHI PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043258-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transformations Counseling Group LCSW PLLC Clinical PastSince Mar 4, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1720060403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DERBY PL",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871328",
            "telephone_number": "516-639-6286",
            "fax_number": "631-979-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E. MAIN STREET",
            "address_2": "SUITE 170",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872832",
            "telephone_number": "516-639-6286",
            "fax_number": "631-979-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILBIN",
        "first_name": "JANET",
        "middle_name": "SHERYL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043258-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "P2482807",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "7108202",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "7482941",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.