Individual provider Active NPI

Frank John Guastella I, LCSW

  • Clinical Social Worker
  • Riverhead, NY
National Provider Identifier
1912445792
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090429-01 Issued in NY
Practice address
400 W Main St
Riverhead, NY 11901-2813
Phone
(631) 508-5006
Fax
(631) 369-5433
NPI assigned
Feb 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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 090429-01 NY Primary

Addresses

Primary practice location

400 W Main St
Riverhead, NY 11901-2813

Mailing address

130 Artist Lake Dr
Middle Island, NY 11953-2311
Phone (631) 645-1720

Other practice location 1

215 Hallock Rd
Stony Brook, NY 11790-3078
Phone (631) 551-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210130000067 NY Practitioner - Clinical Social Worker 7315351541 Reassigns benefits to 2 organizations
I20240829004549 NJ Practitioner - Clinical Social Worker 7315351541 Reassigns benefits to 1 organization
I20260221000661 CT Practitioner - Clinical Social Worker 7315351541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical PCGroup PAC ID 9234291436, 78 clinicians
Aldad Medical NJ PCGroup PAC ID 4981011988, 10 clinicians

Practice addresses (Care Compare)

130 Morgan St
Stamford, CT 06905-5431
Phone (516) 505-7200

221 River St
Suite 901
Hoboken, NJ 07030-5989
Phone (516) 505-7200

510 Hempstead Tpke
RM 203
West Hempstead, NY 11552-1152
Phone (516) 505-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
090429-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Nov 13, 2020 Accepting new patients
Aldad Medical NJ, P.C CurrentSince Sep 1, 2024 Accepting new patients
Aldad Medical PC CurrentSince Feb 1, 2022 Accepting new patients
Advanced Health Sports & Occupation PastSince Feb 13, 2026 Accepting new patients
Family Service League, Inc. PastSince Nov 13, 2020 Accepting new patients

Locations

130 Morgan St
Stamford, CT 06905
Phone (203) 348-0123

263 Tresser Blvd
Fl 9
Stamford, CT 06901
Phone (203) 915-8337

221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252

790 Park Ave
Huntington, NY 11743
Phone (631) 427-3700

1235 Montauk Hwy
Mastic, NY 11950
Phone (631) 345-0083

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

400 W Main St
Ste 300
Riverhead, NY 11901
Phone (631) 369-0104

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 5

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1912445792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ARTIST LAKE DR",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119532311",
            "telephone_number": "631-645-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012813",
            "telephone_number": "631-508-5006",
            "fax_number": "631-369-5433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Hallock Rd",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117903078",
            "country_code": "US",
            "telephone_number": "631-551-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUASTELLA",
        "first_name": "FRANK",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090429-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.