Active NPI
Julia Larin, LCSW, CASAC
- Clinical Social Worker
- Port Jefferson Station, NY
National Provider Identifier
1811904543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R033195-1
- Practice address
- 55 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2631 - Phone
- (631) 473-0370
- Fax
- (631) 689-5239
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8026 | NY | |
| Clinical Social Worker | 1041C0700X | R033195-1 | NY | Primary |
Addresses
Primary practice location
55 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2631
Mailing address
22 Varsity Blvd
East Setauket, NY 11733-1040
Phone (631) 689-5239
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7400907 | Other | NY | GHI PROVIDER NUMBER |
| P3549311 | Other | NY | OXFORD PROVIDER NUMBER |
| 095319 | Other | NY | VALUE OPTIONS PROVIDER # |
| 23550 | Other | NY | VYTRA PROVIDER NUMBER |
| 83338474 | Other | NY | MULTIPLAN PROVIDER NUMBER |
| R033195-A37 | Other | NY | HEALTHFIRST PROVIDER NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8026 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| R033195-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1811904543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 VARSITY BLVD",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117331040",
"telephone_number": "631-689-5239",
"fax_number": "631-689-5239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 NESCONSET HWY",
"address_2": "SUITE 4",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762631",
"telephone_number": "631-473-0370",
"fax_number": "631-689-5239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARIN",
"first_name": "JULIA",
"name_prefix": "Ms.",
"credential": "LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "8026",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R033195-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "7400907",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P3549311",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS PROVIDER #",
"identifier": "095319",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA PROVIDER NUMBER",
"identifier": "23550",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN PROVIDER NUMBER",
"identifier": "83338474",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST PROVIDER NUMB",
"identifier": "R033195-A37",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.