Active NPI
Devora Beller, LMSW
- Social Worker
- Pomona, NY
National Provider Identifier
1922149160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 70021
- Practice address
- 50 Sanitorium Rd
BLDG H
Pomona, NY 10970-3555 - Phone
- (845) 364-2275
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 70021 | NY | Primary |
Addresses
Primary practice location
50 Sanitorium Rd
BLDG H
Pomona, NY 10970-3555
Mailing address
58 Horton Dr
Monsey, NY 10952-2851
Phone (845) 425-6092
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 |
|---|---|---|---|
| 70021 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Rockland | Current | Accepting new patients | |
| County of Rockland | Current | Accepting new patients | |
| Kids First Services Inc | Social Worker | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Rockland County Dept of Mental Health
- Adult Mental Health Clinic/Center
- Pomona, NY
- NPI 1336255272
-
- Public Health or Welfare Agency
- Pomona, NY
- NPI 1700814951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922149160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 HORTON DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109522851",
"telephone_number": "845-425-6092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SANITORIUM RD",
"address_2": "BLDG H",
"city": "POMONA",
"state": "NY",
"postal_code": "109703555",
"telephone_number": "845-364-2275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLER",
"first_name": "DEVORA",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "70021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.