Paul Ammendola, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

085424 Issued in NY

Practice address

105 N Cambridge St
Malverne, NY 11565-2151

Phone

(516) 868-3030

Fax

(516) 868-3374

NPI assigned

Jun 14, 2011

Last updated

Dec 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

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

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.

• The Well of Truth, Inc.

  dba The Well, Inc.

  • Clinical Social Worker
  • Malverne, NY
  • NPI 1245895424
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1841585122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203873",
            "telephone_number": "516-868-3030",
            "fax_number": "516-868-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N CAMBRIDGE ST",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652151",
            "telephone_number": "516-868-3030",
            "fax_number": "516-868-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMMENDOLA",
        "first_name": "PAUL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Addiego
• Alina Bella Ahuja
• Michael James Alaimo, D.O.
• Nicholas J Aloi Jr., RPH
• Marlene A Altman-Kutler, LCSW, CASAC, ICADC
• Amanda Angilletta
• Lisa K Askinazi, PH.D.
• Myrlene Azor-Jean
• Linda M. Babolcsay, L.C.S.W., C.A.S.A.C
• Kyoung Han Bae, DDS

• Social Worker in Malverne, NY
• Providers in Malverne, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.