Individual provider Active NPI

Michal Frankel Rosenthal, M.S.S.W.

  • Clinical Social Worker
  • Roslyn Heights, NY
National Provider Identifier
1871612754
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149-004137 Issued in IL
Practice address
200 S Service Rd Ste 211
Roslyn Heights, NY 11577-2118
Phone
(516) 591-5554
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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 149-004137 IL Primary

Addresses

Primary practice location

200 S Service Rd Ste 211
Roslyn Heights, NY 11577-2118

Mailing address

PO Box 385
Plainview, NY 11803-0385
Phone (516) 591-5554

Other practice location 1

70 Glen Cove Rd Ste 207
Roslyn Heights, NY 11577-1730
Phone (516) 591-5554

Other practice location 2

400 Jericho Tpke Ste 209
Jericho, NY 11753-1320
Phone (516) 591-5554

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
I20200421002633 NY Practitioner - Clinical Social Worker 1355771080 Practice locations: Jericho, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Jericho Tpke
Suite 209
Jericho, NY 11753-1320
Phone (516) 591-5554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149-004137ILMDClinical Social Worker
040765NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Michal F Rosenthal Clinical CurrentSince Feb 13, 2022 Accepting new patients

Locations

400 Jericho Tpke
Ste 209
Jericho, NY 11753
Phone (516) 591-5554

200 S Service Rd
Ste 211
Roslyn Heights, NY 11577
Phone (516) 591-5554

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1871612754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118030385",
            "telephone_number": "516-591-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S SERVICE RD STE 211",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772118",
            "telephone_number": "516-591-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Glen Cove Rd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Roslyn Heights",
            "state": "NY",
            "postal_code": "115771730",
            "country_code": "US",
            "telephone_number": "516-591-5554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Jericho Tpke Ste 209",
            "address_purpose": "LOCATION",
            "city": "Jericho",
            "state": "NY",
            "postal_code": "117531320",
            "country_code": "US",
            "telephone_number": "516-591-5554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "MICHAL",
        "middle_name": "FRANKEL",
        "name_prefix": "Mrs.",
        "credential": "M.S.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-004137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.