Clinton B Stoddard, LCSW PHD

Primary specialty

Social WorkerTaxonomy code 104100000X

License

037435 Issued in NY

Practice address

523 Townline Rd
Suite 9
Hauppauge, NY 11788

Phone

(631) 265-0505

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Long Island Behavioral Medicine PC

  • Psychiatry Physician
  • Islandia, NY
  • NPI 1104072677
  NPD (past)
• Smithtown Psychiatric Services LLP

  • Psychiatry Physician
  • Smithtown, NY
  • NPI 1558443176
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750422101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROOKSITE DRIVE",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "11787",
            "telephone_number": "631-265-0060",
            "fax_number": "631-265-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 TOWNLINE RD",
            "address_2": "SUITE 9",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-265-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "CLINTON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "LCSW PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "037435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2717816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "7401979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Staten, PT, DPT
• Lester David Stein, DMD
• Andrea Curnett Stengel, NP
• Deena Lynn Stern
• Dorothy Corral Stevens, NP
• Jonathan Louis Stone II, LMHC, LCAT
• Joseph Anthony Stopanio, PSY.D.
• Laura Strange
• Michelle Katherine Straub
• Joseph P Stubel, MD

• Social Worker in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.