Irene Robin Siegel, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR019961-1 Issued in NY

Practice address

202 E Main St
Suite 102
Huntington, NY 11743-2993

Phone

(631) 351-1737

Fax

(631) 547-5434

NPI assigned

Mar 26, 2007

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 29, 2020 through May 29, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992822613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432993",
            "telephone_number": "631-351-1737",
            "fax_number": "631-547-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "address_2": "SUITE 102",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432993",
            "telephone_number": "631-351-1737",
            "fax_number": "631-547-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "IRENE",
        "middle_name": "ROBIN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR019961-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER",
            "identifier": "153079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PIN",
            "identifier": "7333034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul W. Shineman, M.D.
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• Stephen Irwin Shore, DMD
• Laila Melissa Siddiqui
• Karen Elizabeth Siegel, AU.D
• Ava Regina Sierecki, MD
• Mitchell Sierecki, MD
• Dawn Renee Siglain, ND
• Jeffery Seth Silberman, PH.D.

• Clinical Social Worker in Huntington, NY
• Providers in Huntington, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.