Individual provider Active NPI

Roberto Toledo, LCSW

  • Clinical Social Worker
  • Brentwood, NY
National Provider Identifier
1821145004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075458-1 Issued in NY
Practice address
376 Hancock St
Brentwood, NY 11717-2854
Phone
(631) 334-4299
Fax
(866) 422-9552
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075458-1 NY Primary
Social Worker 104100000X 068017-1 NY
Clinical Social Worker 1041C0700X 17158 LA

Addresses

Primary practice location

376 Hancock St
Brentwood, NY 11717-2854

Mailing address

253 Feller Dr
Central Islip, NY 11722-1213
Phone (631) 334-4299

Other practice location 1

18490 S Harrells Ferry Rd
Baton Rouge, LA 70816-3545
Phone (631) 334-4299

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
I20080108000556 NY Practitioner - Clinical Social Worker 1254411887 Practice locations: Brentwood, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

376 Hancock St
Brentwood, NY 11717-2854
Phone (631) 334-4299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068017-1NYMDSocial Worker
17158LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Telemhealth Inc Clinical CurrentSince Jun 28, 2020 Accepting new patients
Roberto Toledo, LCSW, P.C. Social Worker Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821145004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 FELLER DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117221213",
            "telephone_number": "631-334-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 HANCOCK ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117172854",
            "telephone_number": "631-334-4299",
            "fax_number": "866-422-9552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18490 S Harrells Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708163545",
            "country_code": "US",
            "telephone_number": "631-334-4299",
            "fax_number": "866-422-9552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075458-1",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "068017-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "17158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

Verify at the official NPI Registry.