Individual provider Active NPI

Patricia Mary Traynor, LCSW

  • Clinical Social Worker
  • East Norwich, NY
National Provider Identifier
1831486851
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074489-1 Issued in NY
Practice address
7 Griffin Ave
East Norwich, NY 11732-1317
Phone
(516) 840-1550
NPI assigned
Jun 29, 2011
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074489-1 NY Primary

Addresses

Primary practice location

7 Griffin Ave
East Norwich, NY 11732-1317

Mailing address

7 Griffin Ave
East Norwich, NY 11732-1317
Phone (516) 840-1550

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
I20151105001429 NY Practitioner - Clinical Social Worker 4981914819 Reassigns benefits to 2 organizations
Practice locations: East Norwich, 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)

7 Griffin Ave
East Norwich, NY 11732-1317
Phone (516) 840-1550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074489NYMDSocial Worker
074489-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Dec 1, 2024 Accepting new patients
Long Island Elder Care LCSW PLLC CurrentSince Feb 24, 2016 Accepting new patients

Locations

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

521 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 864-8822

275 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 371-2225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patricia.traynor.1@14448.direct.athenahealth.com

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1831486851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRIFFIN AVE",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321317",
            "telephone_number": "516-840-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GRIFFIN AVE",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321317",
            "telephone_number": "516-840-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYNOR",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074489-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Norwich, NY

Sources for this page

Verify at the official NPI Registry.