Individual provider Active NPI

Roxane Mary Defillipo, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1992855290
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1492 Richmond Rd
Suite 3
Staten Island, NY 10304-2319
Phone
(718) 668-9012
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

1492 Richmond Rd
Suite 3
Staten Island, NY 10304-2319

Mailing address

1160 Richmond Rd
Apt. 3I
Staten Island, NY 10304-2417
Phone (718) 670-3237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20240620001314 NJ Practitioner - Clinical Social Worker 2062776974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caring People NJ Operating, LLCGroup PAC ID 7012324833, 7 clinicians

Practice addresses (Care Compare)

Clifton, NJ 07011
Phone (732) 495-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring People NJ Operating, LLC CurrentSince Mar 17, 2024 Accepting new patients
Halcyon Elder Care LLC Clinical PastSince Oct 14, 2012 Accepting new patients

Locations

569 State Route 36
Belford, NJ 07718
Phone (732) 495-2350

2137 State Route 35
Ste 370
Holmdel, NJ 07733
Phone (732) 495-2350

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992855290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 RICHMOND RD",
            "address_2": "APT. 3I",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042417",
            "telephone_number": "718-670-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 RICHMOND RD",
            "address_2": "SUITE 3",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042319",
            "telephone_number": "718-668-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILLIPO",
        "first_name": "ROXANE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.