Individual provider Active NPI

Jane M Teitel Negrin, LCSW BCD

  • Clinical Social Worker
  • Farmingville, NY
National Provider Identifier
1972661536
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R049382-1 Issued in NY
Practice address
26 Fleetwood Drive
Farmingville, NY 11738
Phone
(631) 732-5464
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X R0496382-1 NY
Clinical Social Worker 1041C0700X R049382-1 NY Primary

Addresses

Primary practice location

26 Fleetwood Drive
Farmingville, NY 11738

Mailing address

26 Fleetwood Drive
Farmingville, NY 11738
Phone (631) 732-5464

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
I20260210001223 NY Practitioner - Clinical Social Worker 1658850623 Practice locations: Farmingville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26 Fleetwood Dr
Farmingville, NY 11738-2843
Phone (631) 732-5464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0496382-1NYMDPsychologist
R049382-1NYMDClinical Social Worker
049382NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972661536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FLEETWOOD DRIVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "11738",
            "telephone_number": "631-732-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 FLEETWOOD DRIVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "11738",
            "telephone_number": "631-732-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEITEL NEGRIN",
        "first_name": "JANE",
        "middle_name": "M",
        "credential": "LCSW  BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "R0496382-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049382-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

Verify at the official NPI Registry.