Individual provider Active NPI

Bonnie Sue Levine, S.W. CLINICAL LCSW

  • Clinical Social Worker
  • Hicksville, NY
National Provider Identifier
1760569081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070204 Issued in NY
Practice address
385 W John St
Hicksville, NY 11801-1033
Phone
(516) 935-6858
Fax
(516) 935-2717
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070204 NY Primary

Addresses

Primary practice location

385 W John St
Hicksville, NY 11801-1033

Mailing address

385 W John St
Hicksville, NY 11801-1033
Phone (516) 935-6858

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
I20070504000464 NY Practitioner - Clinical Social Worker 3678679800 Reassigns benefits to 2 organizations
Practice locations: Woodbury, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1959 Monroe Ave
North Bellmore, NY 11710-1520
Phone (516) 826-4891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070204NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Guidance Counseling & Licensed Clinical Social Work Services PC Clinical CurrentSince Jul 2, 2015 Accepting new patients
Family and Children'S Association - Hicksville CurrentSince Oct 17, 2005 Accepting new patients
Family and Children'S Association - Linkage CurrentSince Oct 17, 2005 Accepting new patients
Long Island Psychotherapy & Counseling, LCSW P.C. Clinical Past Accepting new patients

Locations

377 Oak St
Fl 5
Garden City, NY 11530
Phone (516) 292-1300

180 Broadway
Fl 2
Hicksville, NY 11801
Phone (516) 935-6858

385 W John St
Hicksville, NY 11801
Phone (516) 935-6858

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760569081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 W JOHN ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011033",
            "telephone_number": "516-935-6858",
            "fax_number": "516-935-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W JOHN ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118011033",
            "telephone_number": "516-935-6858",
            "fax_number": "516-935-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BONNIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "S.W. CLINICAL LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.