Active NPI
Janet Sheryl Philbin, LCSW
- Clinical Social Worker
- Smithtown, NY
National Provider Identifier
1720060403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R043258-1
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2482807 | Other | NY | OXFORD PROVIDER NUMBER |
| 7108202 | Other | NY | AETNA PROVIDER NUMBER |
| 7482941 | Other | NY | GHI 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R043258-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformations Counseling Group LCSW PLLC | Clinical | Past | 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.
-
- Clinical Social Worker
- Hauppauge, NY
- NPI 1902219512
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.