Active NPI
June Mary Perry, LCSW
- Clinical Social Worker
- West Hempstead, NY
National Provider Identifier
1982715983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076904-1
- Practice address
- 510 Hempstead Tpke
Suite 202
West Hempstead, NY 11552-1152 - Phone
- (516) 437-6050
- Fax
- (516) 437-6304
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 22, 2011
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 071791-1 | NY | |
| Clinical Social Worker | 1041C0700X | 076904-1 | NY | Primary |
Addresses
Primary practice location
510 Hempstead Tpke
Suite 202
West Hempstead, NY 11552-1152
Mailing address
2236 Chestnut Ave
Ronkonkoma, NY 11779-6577
Phone (631) 682-6008
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 |
|---|---|---|---|
| 071791-1 | NY | MD | Clinical Social Worker |
| 076904-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square Health & Wellness Corp | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacy
- West Hempstead, NY
- NPI 1184457954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1982715983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 CHESTNUT AVE",
"city": "RONKONKOMA",
"state": "NY",
"postal_code": "117796577",
"telephone_number": "631-682-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HEMPSTEAD TPKE",
"address_2": "SUITE 202",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115521152",
"telephone_number": "516-437-6050",
"fax_number": "516-437-6304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JUNE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "071791-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076904-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.