Paul J Testa III, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R050508-1 Issued in NY

Practice address

17 Fordham Rd
West Babylon, NY 11704-5803

Phone

(631) 321-7011

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sunrise Counseling Center,LTDGroup PAC ID 8224210232, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Counseling Center,LTD

  • Clinical Social Worker
  • East Islip, NY
  • NPI 1407871353
  Medicare reassignment Care Compare group NPD
• Heart & Soul Community Counseling

  • Clinical Social Worker
  • West Babylon, NY
  • NPI 1346223252
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962438879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 OCONNOR RD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117032524",
            "telephone_number": "516-314-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FORDHAM RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045803",
            "telephone_number": "631-321-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050508-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Lorraine Sweeney, PT
• Diane Tabak, R-LCSW
• Alec G Tapper
• Luz Stella Tavera, LICENSED MASSAGE THE
• Yves M Telemaque, LPN
• Tfinncorp
• The Stop & Shop Supermarket Company LLC
• Michel Antonia Thiel, LMHC-D
• Lunece Thomas
• Valerie Thomas

• Clinical Social Worker in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Clinical Social Worker in New York

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.