Individual provider Active NPI

Lauren Stacie McCabe, LCSW

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1770065971
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086233 Issued in NY
Practice address
496 Smithtown Byp Ste 203
Smithtown, NY 11787-5011
Phone
(516) 654-4715
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 086233 NY Primary

Addresses

Primary practice location

496 Smithtown Byp Ste 203
Smithtown, NY 11787-5011

Mailing address

24 Oakfield Ave
Freeport, NY 11520-1914
Phone (516) 654-4715

Other names 1

  • Miss Lauren Stacie McCabe Former name

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
I20210625000746 NY Practitioner - Clinical Social Worker 4789085994 Practice locations: Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

496 Smithtown Byp
Suite 203
Smithtown, NY 11787-5011
Phone (516) 654-4715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086233NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
First Love Yourself Counseling CurrentSince Jan 17, 2020 Accepting new patients
Rachel Lessard LCSW PC Clinical CurrentSince Jun 22, 2021 Accepting new patients

Locations

496 Smithtown Byp
Ste 203
Smithtown, NY 11787
Phone (516) 404-7337

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": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1770065971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 OAKFIELD AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201914",
            "telephone_number": "516-654-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SMITHTOWN BYP STE 203",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875011",
            "telephone_number": "516-654-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "LAUREN",
        "middle_name": "STACIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MCCABE",
            "middle_name": "STACIE",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.