Individual provider Active NPI

Caitlin Winnicki, LMSW

  • Social Worker
  • Sayville, NY
National Provider Identifier
1932509452
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
099244 Issued in NY
Practice address
23 Candee Ave
Sayville, NY 11782-3055
Phone
(855) 552-9322
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 099244 NY Primary

Addresses

Primary practice location

23 Candee Ave
Sayville, NY 11782-3055

Mailing address

23 Candee Ave
Sayville, NY 11782-3055
Phone (855) 552-9322

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260414001924 NY Practitioner - Clinical Social Worker 4981170305 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
Group practices
Suffolk Counseling ServicesGroup PAC ID 1355603259, 13 clinicians

Practice addresses (Care Compare)

23 Candee Ave
Sayville, NY 11782-3055
Phone (631) 629-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
099244NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Suffolk Counseling Services Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1932509452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823055",
            "telephone_number": "855-552-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823055",
            "telephone_number": "855-552-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNICKI",
        "first_name": "CAITLIN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "099244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.