Individual provider Active NPI

Ann Bareish, LCSW

  • Clinical Social Worker
  • Great Neck, NY
National Provider Identifier
1881789675
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-029706 Issued in NY
Practice address
10 Canterbury Rd
Apt 3a
Great Neck, NY 11021-2611
Phone
(516) 829-4453
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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 R-029706 NY Primary

Addresses

Primary practice location

10 Canterbury Rd
Apt 3a
Great Neck, NY 11021-2611

Mailing address

10 Canterbury Rd
Apt 3a
Great Neck, NY 11021-2611
Phone (516) 829-4453

Other practice location 1

15 Bond St
Suite 206
Great Neck, NY 11021-2002
Phone (516) 829-4453

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
I20061129000453 NY Practitioner - Clinical Social Worker 2466450424 Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Canterbury Rd
Apt 3a
Great Neck, NY 11021-2611
Phone (516) 829-4453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-029706NYMDClinical Social Worker
029706NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ann Bareish, Acsw,LCSW Clinical PastSince Jan 1, 1990 Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1881789675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CANTERBURY RD",
            "address_2": "APT 3A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212611",
            "telephone_number": "516-829-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CANTERBURY RD",
            "address_2": "APT 3A",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212611",
            "telephone_number": "516-829-4453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Bond St",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110212002",
            "country_code": "US",
            "telephone_number": "516-829-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAREISH",
        "first_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-029706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.