Individual provider Active NPI

Gloria Demaio - Herrera, LCSW

  • Clinical Social Worker
  • Rockville Centre, NY
National Provider Identifier
1801109863
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080445 Issued in NY
Practice address
45 N Village Ave Ste 1B
Rockville Centre, NY 11570-4610
Phone
(516) 350-8564
Fax
(516) 874-2477
NPI assigned
Jul 20, 2010
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 72069431 NY
Clinical Social Worker 1041C0700X 080445 NY Primary

Addresses

Primary practice location

45 N Village Ave Ste 1B
Rockville Centre, NY 11570-4610

Mailing address

123 Grove Ave Ste 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

Other names 1

  • Gloria Demaio 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
I20170807002208 NY Practitioner - Clinical Social Worker 8921379132 Reassigns benefits to 1 organization
Practice locations: Levittown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nassau Psychology, P.C.Group PAC ID 1951690254, 23 clinicians

Practice addresses (Care Compare)

123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72069431NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Psychology, P.C. CurrentSince Jun 15, 2020 Accepting new patients
Community Counseling & LCSW Services PC Clinical PastSince Jan 16, 2015 Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 350-5864

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Phone (516) 594-2111

165 N Village Ave
Ste 132
Rockville Ctr, NY 11570
Phone (516) 766-5851

3375 Park Ave
Ste 2005
Wantagh, NY 11793
Phone (516) 546-6021

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1801109863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GROVE AVE STE 216",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162302",
            "telephone_number": "516-350-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N VILLAGE AVE STE 1B",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704610",
            "telephone_number": "516-350-8564",
            "fax_number": "516-874-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAIO - HERRERA",
        "first_name": "GLORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "72069431",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "DEMAIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.