Active NPI
Stacy Cara Klein, LCSW
- Clinical Social Worker
- Dix Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R053955
- Practice address
- 10 Long Acre Lane
Dix Hills, NY 11746-7926 - Phone
- (631) 499-0139
- Fax
- (631) 486-1938
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R053955 | NY | Primary |
Addresses
Primary practice location
10 Long Acre Lane
Dix Hills, NY 11746-7926
Mailing address
10 Long Acre Lane
Dix Hills, NY 11746-7926
Phone (631) 499-0139
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14415 68TH Rd
Flushing, NY 11367-1330
Phone (973) 264-0023
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R053955 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Counseling Center Inc | Current | Accepting new patients | |
| Senior Care Therapy LCSW of New York PLLC | Clinical | Current | Accepting new patients |
| The New York and Presbyterian Hospital | Past | Accepting new patients |
Locations
2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555
445 Oak St
Copiague, NY 11726
Phone (631) 257-5173
10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202
50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Flushing, NY
- NPI 1932677168
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
-
- Psychologist
- Cedarhurst, NY
- NPI 1659812766
-
- Mental Health Counselor
- Staten Island, NY
- NPI 1972715456
-
- Internal Medicine Physician
- Syosset, NY
- NPI 1104270198
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881806990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LONG ACRE LANE",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467926",
"telephone_number": "631-499-0139",
"fax_number": "631-486-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LONG ACRE LANE",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117467926",
"telephone_number": "631-499-0139",
"fax_number": "631-486-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "STACY",
"middle_name": "CARA",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R053955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.