Individual provider Active NPI

Janet Evans Poretsky, L.C.S.W.-R

  • Clinical Social Worker
  • Baldwin, NY
National Provider Identifier
1902142805
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R019782-1 Issued in NY
Practice address
976 Jerome St
Baldwin, NY 11510-5017
Phone
(516) 223-8070
NPI assigned
Dec 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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 R019782-1 NY Primary

Addresses

Primary practice location

976 Jerome St
Baldwin, NY 11510-5017

Mailing address

976 Jerome St
Baldwin, NY 11510-5017
Phone (516) 223-8070

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
I20150304000366 NY Practitioner - Clinical Social Worker 0042536328 Reassigns benefits to 1 organization
Practice locations: Baldwin, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

976 Jerome St
Baldwin, NY 11510-5017
Phone (516) 223-8070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R019782-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Priyadarshan Bajpayi, M.D. PC CurrentSince Jun 1, 2019 Accepting new patients

Locations

1365 Washington Ave
Ste 104
Albany, NY 12206
Phone (518) 489-0736

5550 Merrick Rd
Massapequa, NY 11758
Phone (631) 673-3233

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1902142805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 JEROME ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105017",
            "telephone_number": "516-223-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 JEROME ST",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115105017",
            "telephone_number": "516-223-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORETSKY",
        "first_name": "JANET",
        "middle_name": "EVANS",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R019782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

Verify at the official NPI Registry.