Individual provider Active NPI

Ann D McCarthy, LCSW

  • Clinical Social Worker
  • Massapequa Park, NY
National Provider Identifier
1760637359
Registry record updated Mar 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075045 Issued in NY
Practice address
4770 Sunrise Hwy
Ste 204
Massapequa Park, NY 11762-2911
Phone
(516) 428-3165
NPI assigned
Nov 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2017

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 075045 NY Primary

Addresses

Primary practice location

4770 Sunrise Hwy
Ste 204
Massapequa Park, NY 11762-2911

Mailing address

4770 Sunrise Hwy
Ste 204
Massapequa Park, NY 11762-2911
Phone (516) 428-3165

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
I20140811000296 NY Practitioner - Clinical Social Worker 7517184898 Practice locations: Massapequa Park, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J. Puleo, D.C., P.C. Past Accepting new patients

Organizations & group practices 1

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": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488585600000",
    "number": "1760637359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 SUNRISE HWY",
            "address_2": "STE 204",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622911",
            "telephone_number": "516-428-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 SUNRISE HWY",
            "address_2": "STE 204",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622911",
            "telephone_number": "516-428-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "ANN",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2017-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

Verify at the official NPI Registry.