Individual provider Active NPI

Carol S. Magee, L.C.S.W C.A.S.A.C.

  • Clinical Social Worker
  • Southampton, NY
National Provider Identifier
1962651992
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075517 Issued in NY
Practice address
450 N Main St
Southampton, NY 11968-2835
Phone
(631) 287-3779
Fax
(631) 287-2090
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service League Inc 47 clinicians

Practice addresses (Care Compare)

790 Park Ave
Huntington, NY 11743-4516
Phone (631) 427-3700

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20081201000306 NY Practitioner - Clinical Social Worker 3577623164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Aug 1, 2008 Accepting new patients

Locations

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 075517 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

450 N Main St
Southampton, NY 11968-2835

Mailing address

450 N Main St
Southampton, NY 11968-2835
Phone (631) 287-3779

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 15, 2008.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1962651992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682835",
            "telephone_number": "631-287-3779",
            "fax_number": "631-287-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119682835",
            "telephone_number": "631-287-3779",
            "fax_number": "631-287-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "CAROL",
        "middle_name": "S.",
        "credential": "L.C.S.W C.A.S.A.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

Verify at the official NPI Registry.