Individual provider Active NPI

Alice Elizabeth Agostini, R.N., L.M.S.W.

  • Social Worker
  • Central Islip, NY
National Provider Identifier
1982975736
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
068809 Issued in NY
Practice address
115 Carleton Ave
Central Islip, NY 11722-3676
Phone
(631) 234-7807
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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 068809 NY Primary

Addresses

Primary practice location

115 Carleton Ave
Central Islip, NY 11722-3676

Mailing address

37 Pequot LN
East Islip, NY 11730-2715
Phone (631) 224-2612

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
I20180912002112 NY Practitioner - Clinical Social Worker 9335499383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Service League IncGroup PAC ID 4284524448, 47 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
068809NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service League, Inc. CurrentSince Jun 2, 2018 Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

320 Carleton Ave
Fl 8
Central Islip, NY 11722
Phone (631) 663-4300

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1982975736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PEQUOT LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302715",
            "telephone_number": "631-224-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CARLETON AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223676",
            "telephone_number": "631-234-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTINI",
        "first_name": "ALICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "R.N.,  L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "068809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

Verify at the official NPI Registry.