Individual provider Active NPI

Millicent Garofalo, LMSW

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1881894186
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0736001 Issued in NY
Practice address
10 Pennington Dr
Huntington, NY 11743-7119
Phone
(516) 445-2101
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 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 0736001 NY Primary

Addresses

Primary practice location

10 Pennington Dr
Huntington, NY 11743-7119

Mailing address

10 Pennington Dr
Huntington, NY 11743-7119
Phone (516) 445-2101

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
I20160816001502 NY Practitioner - Clinical Social Worker 8224322102 Practice locations: Huntington, NY; Melville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Pennington Dr
Huntington, NY 11743-7119
Phone (516) 445-2101

900 Walt Whitman Rd
Suite 303
Melville, NY 11747-2215
Phone (516) 445-2101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0736001NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Landsman PastSince Nov 10, 2024 Accepting new patients
Sage Hill Counseling Psychotherapy Social Work LCSW PC. Clinical 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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1881894186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PENNINGTON DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437119",
            "telephone_number": "516-445-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PENNINGTON DR",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437119",
            "telephone_number": "516-445-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAROFALO",
        "first_name": "MILLICENT",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0736001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.