Rebecca Hladky, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2171 Jericho Tpke Ste 335
Commack, NY 11725-2947

Phone

(631) 486-7788

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Practice roles

Locations

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.

• Mindful Therapy LCSW, PLLC

  • Clinical Social Worker
  • Commack, NY
  • NPI 1275014136
  Medicare reassignment NPD
• Janis Hoffman LCSW ,PLLC

  • Clinical Social Worker
  • Commack, NY
  • NPI 1194215632
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1992266472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WASHINGTON BLVD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872332",
            "telephone_number": "631-278-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 JERICHO TPKE STE 335",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252947",
            "telephone_number": "631-486-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLADKY",
        "first_name": "REBECCA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "1275014136",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "commack",
            "affiliation": "Y",
            "endpointDescription": "EMAIL",
            "affiliationName": "Mindful Therapy LCSW, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMAIL",
            "address_1": "2171 Jericho Tpke Ste 335",
            "city": "Commack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117252947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sharon Hill, NP
• Steven Craig Hill, DMD
• Kimberly Hines
• Katie Elizabeth Hingher, OTR/L
• Natasha Hinton, LCSW
• Lori Hochman, PT
• John Edward Hofmayer, M.S.P.T.
• Lindsay Hohenberg
• Beth Lynn Greene Hollander, PH.D.
• Nicolle Marcia Horowitz, L.P.N., R.N., N.P.

• Clinical Social Worker in Commack, NY
• Providers in Commack, 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 Nov 27, 2023; 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.