Louis C Cervini, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089553 Issued in NY

Practice address

145 Higbie LN
West Islip, NY 11795-3236

Phone

(631) 572-4627

NPI assigned

Jan 6, 2015

Last updated

Mar 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1992193486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953236",
            "telephone_number": "631-572-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HIGBIE LN",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953236",
            "telephone_number": "631-572-4627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVINI",
        "first_name": "LOUIS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-06",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Island Medical Services PLLC
• Julianna Cerbone
• Ceribelli Chiropractic, PC
• Christine Cerniello, DO
• Alyssa C Cervini, LCSW
• Gina Cespedes, DPM
• Suzanne Giannetta Cestare, PT
• Jaimeson Champion, LCSW
• Shu-Ho Chang, MD
• Emily Chen-de Jesus

• Clinical Social Worker in West Islip, NY
• Providers in West Islip, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.