Barbara Clemett, LCSW-R
Individual provider Active NPI Clinical Social Worker · Centerport, NY
NPI 1770633539 · NPPES record last updated Sep 18, 2020
Key facts
- NPI
- 1770633539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSWR031514 (NY)
- Practice address
- 131 Jackson Cres
Centerport, NY 11721-1053 - Phone
- (631) 553-2703
- Fax
- (631) 547-0793
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
131 Jackson Cres
Centerport, NY 11721-1053
Phone (631) 553-2703
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000073 | NY | Practitioner - Clinical Social Worker | 0941497788 | Practice locations: Centerport, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSWR031514 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R031514-1 | NY | |
| Clinical Social Worker | 1041C0700X | LCSWR031514 | NY | Yes |
Addresses
Primary practice location
131 Jackson Cres
Centerport, NY 11721-1053
Mailing address
131 Jackson Cres
Centerport, NY 11721-1053
Phone (631) 553-2703
Other practice location 1
35 Crooked Hill Rd Ste 102
Commack, NY 11725-5415
Phone (631) 553-2703
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040845 | Other | NY | VALUE OPTIONS |
| NE7771 | Other | NY | EMPIRE BLUECROSS BLUESHIELD |
| 7401729 | Other | NY | GHI - NON HMO CLAIMS |
| R031514 | Other | NY | HIP |
Other providers in Centerport, NY
- Centerport Family Medicine
- Centerport Fire District
- Centerport Fitness & Nutrition Corp
- Cherry Haven Wellness
- Ernest C Chisena
- Elaine Vetrano Close
- Louis Joseph Corrado
- Michael A Coyle
- Patricia F Coyle
- Thomas John D'Amico
All providers in Centerport, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.