Jeannine Marie Rizzo, LCSW-R
Individual provider Active NPI Social Worker · Bayshore, NY
NPI 1750459798 · NPPES record last updated May 1, 2012
Key facts
- NPI
- 1750459798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 0742451 (NY)
- Practice address
- 1444 5TH Avenue
Bayshore, NY 11706 - Phone
- (631) 647-3100
- Fax
- (631) 647-3130
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0742451 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients | |
| Visiting Counselors of New York, LCSW, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 0742451 | NY | Yes |
Addresses
Primary practice location
1444 5TH Avenue
Bayshore, NY 11706
Mailing address
790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3700
Other providers in Bayshore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2012. 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.