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

Key facts

NPI

1982975736

Entity type

Individual (NPI type 1)

Primary specialty

Social Worker 104100000X

License

068809 (NY)

Practice address

115 Carleton Ave
Central Islip, NY 11722-3676

Phone

(631) 234-7807

NPI assigned

Jan 24, 2012

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Family Service League, Inc. Community/Behavioral Health Agency · Huntington, NY · NPI 1528093242
  Medicare reassignment Care Compare group NPD NY
• Federation Employment and Guidance Service, Inc Developmental Disabilities Clinic/Center · New York, NY · NPI 1942243084
  NPD (past)

Medicare Care Compare profile

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Service League Inc (47 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2012.

{
    "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": []
}

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All providers in Central Islip, NY · Social Worker in New York