James Anthony Aguirri, LCSW

Individual provider Active NPI Clinical Social Worker · North Babylon, NY

NPI 1992886774 · NPPES record last updated Jul 13, 2016

Key facts

NPI
1992886774
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
074528-1 (NY)
Practice address
38 Cherubina LN
North Babylon, NY 11703-1706
Phone
(631) 662-1589
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040625000142 NY Practitioner - Clinical Social Worker 1153307798 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
074528-1NYMDClinical Social Worker
059615NYMDPharmacist

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc Current
since Mar 1, 2022
Accepting new patients
Long Island Select Healthcare, Inc. Current
since Dec 27, 2016
Accepting new patients
New Yaork State Association for Retarded Children Inc - Nassau County Past Accepting new patients

Locations

159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

250 Marcus Blvd
Hauppauge, NY 11788
Phone (631) 439-4300

33 Terryville Rd
Port Jefferson Station, NY 11776
Phone (631) 474-5100

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCJFAD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 074528-1 NY Yes

Addresses

Primary practice location

38 Cherubina LN
North Babylon, NY 11703-1706

Mailing address

38 Cherubina LN
North Babylon, NY 11703-1706
Phone (631) 662-1589

Other providers in North Babylon, NY

All providers in North Babylon, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.