Individual provider Active NPI

Christina Murphy, LCSW

  • Clinical Social Worker
  • East Northport, NY
National Provider Identifier
1750786372
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087459 Issued in NY
Practice address
18 Penfield Dr
East Northport, NY 11731-4902
Phone
(732) 804-2677
NPI assigned
Oct 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05967500 NJ
Clinical Social Worker 1041C0700X 087459 NY Primary

Addresses

Primary practice location

18 Penfield Dr
East Northport, NY 11731-4902

Mailing address

18 Penfield Dr
East Northport, NY 11731-4902
Phone (732) 804-2677

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
I20231031002059 NY Practitioner - Clinical Social Worker 8921454729 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Dynamic Counseling LCSW PCGroup PAC ID 2163839135, 5 clinicians

Practice addresses (Care Compare)

354 Veterans Memorial Hwy
Suite 5
Commack, NY 11725-4331
Phone (631) 600-3216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05967500NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Counseling LCSW PC CurrentSince Sep 26, 2023 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Sep 10, 2023 Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

354 Veterans Memorial Hwy
Ste 5
Commack, NY 11725
Phone (631) 600-3216

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": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1750786372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PENFIELD DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314902",
            "telephone_number": "732-804-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PENFIELD DR",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314902",
            "telephone_number": "732-804-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "CHRISTINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05967500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.