Individual provider Active NPI

Eleanor Frankel Perlman, LCSW, DCSW, BCD

  • Social Worker
  • Commack, NY
National Provider Identifier
1841282225
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PR0152491 Issued in NY
Practice address
189 Scarlett Dr
Commack, NY 11725-4659
Phone
(631) 807-5317
Fax
(631) 368-4154
NPI assigned
Aug 22, 2005
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 PR0152491 NY Primary

Addresses

Primary practice location

189 Scarlett Dr
Commack, NY 11725-4659

Mailing address

189 Scarlett Dr
Commack, NY 11725-4659
Phone (631) 807-5317

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
I20110121000891 NY Practitioner - Clinical Social Worker 9436338498 Practice locations: Commack, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

189 Scarlett Dr
Commack, NY 11725-4659
Phone (631) 807-5317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015249NYMDClinical Child & Adolescent Psychologist
PR0152491NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Marino MD PLLC PastSince Mar 1, 2021 Accepting new patients

Networks

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

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, 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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1841282225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 SCARLETT DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254659",
            "telephone_number": "631-807-5317",
            "fax_number": "631-368-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 SCARLETT DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254659",
            "telephone_number": "631-807-5317",
            "fax_number": "631-368-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLMAN",
        "first_name": "ELEANOR",
        "middle_name": "FRANKEL",
        "credential": "LCSW, DCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR0152491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

Verify at the official NPI Registry.