Individual provider Active NPI

Barbara Herrmann

  • Clinical Social Worker
  • Oceanside, NY
National Provider Identifier
1851823975
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085193-1 Issued in NY
Practice address
619 Derby Dr E
Oceanside, NY 11572-2611
Phone
(516) 314-8051
NPI assigned
Mar 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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 085193-1 NY Primary

Addresses

Primary practice location

619 Derby Dr E
Oceanside, NY 11572-2611

Mailing address

619 Derby Dr E
Oceanside, NY 11572-2611
Phone (516) 314-8051

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
I20170619000019 NY Practitioner - Clinical Social Worker 2062780943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Service League Inc 47 clinicians

Practice addresses (Care Compare)

1444 5TH Ave
Bay Shore, NY 11706-4147
Phone (631) 647-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085193-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince May 12, 2017 Accepting new patients
Hart to Heart Clinical Counseling Services LCSW PC Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1851823975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DERBY DR E",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722611",
            "telephone_number": "516-314-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DERBY DR E",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722611",
            "telephone_number": "516-314-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "BARBARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085193-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.