Active NPI
Dolores Riordan, LCSW
- Clinical Social Worker
- Hauppauge, NY
National Provider Identifier
1750452124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R037395
- Practice address
- 111 Smithtown Bypass
Suite124
Hauppauge, NY 11788-2512 - Phone
- (631) 366-3268
- Fax
- (631) 366-3268
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | R037395 | NY | Primary |
Addresses
Primary practice location
111 Smithtown Bypass
Suite124
Hauppauge, NY 11788-2512
Mailing address
111 Smithtown Bypass
Suite124
Hauppauge, NY 11788-2512
Phone (631) 366-3268
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PIN #HIP25326 | Other | HIP (HAUPPAUGE) | |
| 1968161 | Medicaid | NY | |
| 992864HP | Other | MAGELLAN | |
| PRIS#37454P | Other | HIP (HICKSVILLE) | |
| 037395A37 | Other | HEALTHFIRST HAUPP | |
| 68427 | Other | VALUE OPTIONS | |
| 27315DR | Other | VYTRA | |
| 192632HK | Other | MAGELLAN | |
| PIN#HIP25727 | Other | HIP (HICKSVILLE) | |
| PRIS#12611P | Other | HIP (HAUPPAUGE) | |
| 103282SSPS | Other | VYTRA | |
| 179421 | Other | MHN | |
| 037395B37 | Other | HEALTHFIRST HICKS | |
| P1876124 | Other | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110429000255 | NY | Practitioner - Clinical Social Worker | 5991980310 | Practice locations: Hauppauge, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
111 Smithtown Byp
Suite 124
Hauppauge, NY 11788-2512
Phone (631) 366-3268
111 Smithtown Bypass
Suite 124
Hauppauge, NY 11788-2512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R037395 | NY | MD | Clinical Social Worker |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750452124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SMITHTOWN BYPASS",
"address_2": "SUITE124",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882512",
"telephone_number": "631-366-3268",
"fax_number": "631-366-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SMITHTOWN BYPASS",
"address_2": "SUITE124",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117882512",
"telephone_number": "631-366-3268",
"fax_number": "631-366-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIORDAN",
"first_name": "DOLORES",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R037395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP (HAUPPAUGE)",
"identifier": "PIN #HIP25326",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1968161",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "992864HP",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP (HICKSVILLE)",
"identifier": "PRIS#37454P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST HAUPP",
"identifier": "037395A37",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "68427",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "27315DR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "192632HK",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP (HICKSVILLE)",
"identifier": "PIN#HIP25727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP (HAUPPAUGE)",
"identifier": "PRIS#12611P",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "103282SSPS",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "179421",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST HICKS",
"identifier": "037395B37",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1876124",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hauppauge, NY
Sources for this page
- 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.
- 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.