Individual provider Active NPI

Georgette Rich, LCSW

  • Clinical Social Worker
  • Lynbrook, NY
National Provider Identifier
1992176010
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072489 Issued in NY
Practice address
241 Vincent Ave
Lynbrook, NY 11563-2117
Phone
(516) 887-5011
NPI assigned
Oct 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072489 NY Primary

Addresses

Primary practice location

241 Vincent Ave
Lynbrook, NY 11563-2117

Mailing address

241 Vincent Ave
Lynbrook, NY 11563-2117

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151120002210 NY Practitioner - Psychiatry 2668772757 Reassigns benefits to 2 organizations
Practice locations: Lynbrook, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J.Corea Mental Health Counseling PCGroup PAC ID 1658733621, 17 clinicians

Practice addresses (Care Compare)

585 Stewart Ave
Suite 700
Garden City, NY 11530-4785
Phone (516) 280-7285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072489NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
J.Corea Mental Health Counseling PC CurrentSince Jul 6, 2023 Accepting new patients

Locations

585 Stewart Ave
Ste 700
Garden City, NY 11530
Phone (516) 280-7285

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.

NPI Registry JSON

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1992176010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 VINCENT AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 VINCENT AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632117",
            "telephone_number": "516-887-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "GEORGETTE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.