Jamie Vollmoeller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

087409 Issued in NY

Practice address

4109 Sunrise Hwy
Bohemia, NY 11716-4600

Phone

(631) 503-1539

NPI assigned

Apr 22, 2016

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Long Island Emdr LCSW P.C.

  • Clinical Social Worker
  • Bohemia, NY
  • NPI 1356977177
  Medicare reassignment NPD Authorized official
• Resilient Counseling LCSW PC

  dba Long Island EMDR

  • Clinical Social Worker
  • Bohemia, NY
  • NPI 1134804602
  NPD Authorized official
• Sunshine Therapy LCSW PC

  • Clinical Social Worker
  • Smithtown, NY
  • NPI 1093336307
  NPD (past)

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1720432032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 SUNRISE HWY",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164600",
            "telephone_number": "631-707-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 SUNRISE HWY",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164600",
            "telephone_number": "631-503-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "269 W Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068319",
            "country_code": "US",
            "telephone_number": "631-666-1951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 W JERICHO TPKE",
            "address_purpose": "LOCATION",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873232",
            "country_code": "US",
            "telephone_number": "631-503-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOLLMOELLER",
        "first_name": "JAMIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Villano, LMHC
• Joan Vixamar, LPN
• Joseph Vollaro, PH.D.
• Maureen Vollaro, LCSW
• Janet Ellen Vollkommer
• Jacqueline Mary Volpicella
• Kevin John Waite Jr., PHARMD
• Samantha Walton, LMSW
• Yening Wang, LPN
• Muhammad Waqas, PHARM D

• Clinical Social Worker in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.

Verify at the official NPI Registry.