Myrna M Chiesa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R30964-1 Issued in NY

Practice address

485 Easton St
Ronkonkoma, NY 11779-6154

Phone

(631) 585-7858

Fax

(631) 585-7858

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831254200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 EASTON ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796154",
            "telephone_number": "631-585-7858",
            "fax_number": "631-585-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 EASTON ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796154",
            "telephone_number": "631-585-7858",
            "fax_number": "631-585-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIESA",
        "first_name": "MYRNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R30964-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02026355",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Fudelin Cesaria
• Carolina Chaer
• Yolanda Adela Chalco, LMSW
• Jillian K Chan, MD
• Nicole Natasha Charles, M.A., CCC-SLP
• Daniel Choi, M.D.
• Adiba Choudhury, RN
• Beth Ann Chrils
• Christian Nursing
• Christine Kim Acupuncture, PLLC

• Clinical Social Worker in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.