Individual provider Active NPI

Linda Kupcewicz

  • Clinical Social Worker
  • Roslyn Heights, NY
National Provider Identifier
1902227598
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0833391 Issued in NY
Practice address
480 Old Westbury Road
Roslyn Heights, NY 11577-6220
Phone
(516) 626-1971
NPI assigned
Dec 26, 2013
Last updated
Aug 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0833391 NY
Clinical Social Worker 1041C0700X 0833391 NY Primary

Addresses

Primary practice location

480 Old Westbury Road
Roslyn Heights, NY 11577-6220

Mailing address

480 Old Westbury Rd
Roslyn Heights, NY 11577-2215
Phone (516) 626-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0833391NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Child and Family Guidance Association Incorporated PastSince Dec 2, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1902227598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772215",
            "telephone_number": "516-626-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 OLD WESTBURY ROAD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115776220",
            "telephone_number": "516-626-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPCEWICZ",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0833391",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0833391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.