Individual provider Active NPI

Elizabeth Rose Cambra, SOCIAL WORKER

  • Clinical Social Worker
  • West Islip, NY
National Provider Identifier
1891843454
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
050887-1 Issued in NY
Practice address
325 Sunrise Hwy
West Islip, NY 11795-2110
Phone
(631) 834-9005
NPI assigned
Jan 8, 2007
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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 050887-1 NY Primary

Addresses

Primary practice location

325 Sunrise Hwy
West Islip, NY 11795-2110

Mailing address

46 Mitchell Ave
Babylon, NY 11702-4109
Phone (631) 834-9005

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
I20200129000342 NY Practitioner - Clinical Social Worker 6305272055 Practice locations: Babylon, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

46 Mitchell Ave
Babylon, NY 11702-4109
Phone (631) 834-9005

Elizabeth Cambra
46 Mitchell Avenue
Babylon, NY 11702-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050887-1NYMDClinical Social Worker
050887NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1891843454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 MITCHELL AVE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117024109",
            "telephone_number": "631-834-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SUNRISE HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117952110",
            "telephone_number": "631-834-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBRA",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "credential": "SOCIAL WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "050887-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.