Active NPI
Darcy Mentovai, LCSW
- Clinical Social Worker
- Woodside, NY
National Provider Identifier
1932344264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 079557
- Practice address
- 6120 Woodside Ave
Woodside, NY 11377-3577 - Phone
- (718) 779-1234
- Fax
- (718) 779-7775
- NPI assigned
- Dec 16, 2008
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00077286 | NY | |
| Clinical Social Worker | 1041C0700X | 079557 | NY | Primary |
Addresses
Primary practice location
6120 Woodside Ave
Woodside, NY 11377-3577
Mailing address
6120 Woodside Ave
Woodside, NY 11377-3577
Phone (718) 779-1234
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00077286 | NY | MD | Clinical Social Worker |
| 079557 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Neigborhood Services | Past | Accepting new patients | |
| Catholic Charities Neigborhood Services | Clinical | Past | Accepting new patients |
| Catholic Charities Neighborhood Services, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community Health Clinic/Center
- Jamaica, NY
- NPI 1699310292
-
- Clinical Social Worker
- Glendale, NY
- NPI 1881910131
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brooklyn, NY
- NPI 1548373921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1932344264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 WOODSIDE AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773577",
"telephone_number": "718-779-1234",
"fax_number": "718-779-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 WOODSIDE AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113773577",
"telephone_number": "718-779-1234",
"fax_number": "718-779-7775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENTOVAI",
"first_name": "DARCY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "00077286",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "079557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.