Living Waters LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIVING WATERS LCSW PC

Practice address

29 Northgate Dr
Greenlawn, NY 11740-2312

Phone

(631) 271-0913

Fax

(631) 261-3250

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Carol Rubano, LCSWNPI 1942300538

Title

President

Phone

(631) 754-3990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Rubano, LCSW

  • Clinical Social Worker
  • Melville, NY
  • NPI 1942300538
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Clock, LCSW

  • Clinical Social Worker
  • Greenlawn, NY
  • NPI 1164630059
  Medicare reassignment Care Compare group NPD
• Bernadina Kerasiotis, NPP PSYD

  • Psychiatry Physician
  • Freeport, NY
  • NPI 1407980766
  Medicare reassignment Care Compare group NPD
• Margo Posillico Messina, LCSW-R

  • Clinical Social Worker
  • Greenlawn, NY
  • NPI 1467678326
  Medicare reassignment Care Compare group NPD
• Gregory Muhs, LCSW

  • Social Worker
  • Greenlawn, NY
  • NPI 1932570124
  Medicare reassignment Care Compare group NPD
• Maura Grillo, LCSW

  • Clinical Social Worker
  • Kings Park, NY
  • NPI 1982815429
  NPD (past)
• Deborah K. Zeltmann, LCSW

  • Clinical Social Worker
  • Manorville, NY
  • NPI 1053526848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1780856062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHGATE DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402312",
            "telephone_number": "631-271-0913",
            "fax_number": "631-261-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHGATE DR",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117402312",
            "telephone_number": "631-271-0913",
            "fax_number": "631-261-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "RUBANO",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-754-3990",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauri Levenberg, SLP
• J Jay Levine, OTR
• Lisa Liberatore, PH.D.
• Jennifer Anne Lindkvist
• Tianyuan Liu, M.D.
• Lori Lizzo
• Dawn Marie Loshigian, PSYD, LMHC
• Tina J Lyons, RN
• Lindsay Macchia, PH.D.
• Mark Gennaro MD PC

• Clinical Social Worker in Greenlawn, NY
• Providers in Greenlawn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.