Jim Morabito, LMSW – Clinical Social Worker

Key facts

NPI: 1720106164
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 055235 (NY)
Practice address: 37 John St
Amityville, NY 11701-2930
Phone: (631) 424-2900
Fax: (631) 598-5716
NPI assigned: Mar 26, 2007
Sex: Male
Sole proprietor: No

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.

Seafield Center Community/Behavioral Health Agency · Amityville, NY · NPI 1194141887

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
055235	NY	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Seafield Center		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	055235	NY	Yes

Addresses

Primary practice location

37 John St
Amityville, NY 11701-2930

Mailing address

37 John St
Amityville, NY 11701-2930
Phone (631) 424-2900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720106164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 JOHN ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012930",
            "telephone_number": "631-424-2900",
            "fax_number": "631-598-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 JOHN ST",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012930",
            "telephone_number": "631-424-2900",
            "fax_number": "631-598-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORABITO",
        "first_name": "JIM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

All providers in Amityville, NY · Clinical Social Worker in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.