Organization Active NPI

Long Island Therapy Services LCSW PC

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1750654083
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
054012-R Issued in NY
Legal business name
LONG ISLAND THERAPY SERVICES LCSW PC
Practice address
75 Prospect St
Suite 109
Huntington, NY 11743-3382
Phone
(631) 662-0160
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Monique Artus, LCSWNPI 1124248364
Title
Director
Phone
(631) 662-0160

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 054012-R NY Primary

Addresses

Primary practice location

75 Prospect St
Suite 109
Huntington, NY 11743-3382

Mailing address

17 Ingersoll St
Huntington Station, NY 11746-3037
Phone (631) 662-0160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170330002014 NY Part B Supplier - Clinic/Group Practice 5193000362 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1750654083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INGERSOLL ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117463037",
            "telephone_number": "631-662-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 PROSPECT ST",
            "address_2": "SUITE 109",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433382",
            "telephone_number": "631-662-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND THERAPY SERVICES LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "ARTUS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-662-0160",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "054012-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.