Active NPI
Giuliana Caen
- Clinical Social Worker
- Port Jefferson, NY
National Provider Identifier
1912397266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 085109-1
- Practice address
- 118 Spring St
Port Jefferson, NY 11777-1817 - Phone
- (631) 476-0564
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 091557-1 | NY | |
| Clinical Social Worker | 1041C0700X | 085109-1 | NY | Primary |
Addresses
Primary practice location
118 Spring St
Port Jefferson, NY 11777-1817
Mailing address
7555 Main Rd
Mattituck, NY 11952-1516
Phone (631) 298-8642
Other practice location 1
7555 Main Rd
Mattituck, NY 11952-1516
Phone (631) 332-1108
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091557-1 | NY | MD | Social Worker |
| 085109-1 | NY | MD | Clinical Social Worker |
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.
-
- Family Medicine Physician
- Hauppauge, NY
- NPI 1568534766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1912397266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7555 MAIN RD",
"city": "MATTITUCK",
"state": "NY",
"postal_code": "119521516",
"telephone_number": "631-298-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 SPRING ST",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117771817",
"telephone_number": "631-476-0564"
}
],
"practiceLocations": [
{
"address_1": "7555 Main Rd",
"address_purpose": "LOCATION",
"city": "Mattituck",
"state": "NY",
"postal_code": "119521516",
"country_code": "US",
"telephone_number": "631-332-1108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAEN",
"first_name": "GIULIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091557-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085109-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.