Individual provider Active NPI

Laura Beatrice Harsch, L.C.S.W.

  • Clinical Social Worker
  • West Islip, NY
National Provider Identifier
1740326107
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055602-1 Issued in NY
Practice address
3 Ember LN
West Islip, NY 11795-2209
Phone
(631) 539-6370
Fax
(631) 539-6370
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R055602-1 NY Primary

Addresses

Primary practice location

3 Ember LN
West Islip, NY 11795-2209

Mailing address

3 Ember LN
West Islip, NY 11795-2209
Phone (631) 539-6370

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131218000030 NY Practitioner - Clinical Social Worker 1254568371 Practice locations: Saint James, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

891 Middle Country Rd
Saint James, NY 11780-3213
Phone (516) 551-0168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055602-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Dalton Morabito CSW PC PastSince Jan 22, 2014 Accepting new patients
Ramona Stills-Johnson LLC Clinical PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 2

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740326107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMBER LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952209",
            "telephone_number": "631-539-6370",
            "fax_number": "631-539-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EMBER LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952209",
            "telephone_number": "631-539-6370",
            "fax_number": "631-539-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARSCH",
        "first_name": "LAURA",
        "middle_name": "BEATRICE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055602-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.