Individual provider Active NPI

Anne Macinnis, LMSW

  • Social Worker
  • Massapequa, NY
National Provider Identifier
1831590249
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
090968-1 Issued in NY
Practice address
75 Grand Ave
Massapequa, NY 11758-4905
Phone
(516) 799-3203
Fax
(516) 799-3081
NPI assigned
Sep 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090968-1 NY Primary

Addresses

Primary practice location

75 Grand Ave
Massapequa, NY 11758-4905

Mailing address

75 Grand Ave
Massapequa, NY 11758-4905
Phone (516) 799-3203

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
I20180228002030 NY Practitioner - Clinical Social Worker 3779844014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090968-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. CurrentSince Dec 31, 2017 Accepting new patients

Locations

950 S Oyster Bay Rd
Hicksville, NY 11801

Organizations & group practices 1

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": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409875200000",
    "number": "1831590249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584905",
            "telephone_number": "516-799-3203",
            "fax_number": "516-799-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584905",
            "telephone_number": "516-799-3203",
            "fax_number": "516-799-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACINNIS",
        "first_name": "ANNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090968-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.