Nicole Marie Battaglia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

090757 Issued in NY

Practice address

11700 Main Rd Ste 1
Mattituck, NY 11952-1525

Phone

(631) 624-7839

NPI assigned

Feb 22, 2021

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

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, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mary Kathleen Martin Nurse Practitioner in Psychiatry, PLLC

  • Prescribing (Medical) Psychologist
  • Riverhead, NY
  • NPI 1578921623
  NPD
• Calm Seas Psychotherapy, LCSW,PLLC

  • Clinical Social Worker
  • Mt Sinai, NY
  • NPI 1790247765

  Clinical

  NPD (past)

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1831783752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 MAIN RD STE 1",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119521525",
            "telephone_number": "631-655-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 MAIN RD STE 1",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119521525",
            "telephone_number": "631-624-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTAGLIA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2022-03-29",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Baker, MSW
• Debra Kim Bales, M.A., C.C.C., SLP
• Barkers Pharmacy Inc.
• Barths of Mattituck Inc
• Andrea Basile
• Phyllis Beck, LPN
• Terry Becker
• Holly A Berdinka, MPT
• Alex Boukas, DDS
• Geraldine Anne Brodarick, RN

• All providers in Mattituck, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.