TARA JEAN PETRUNGARO (NPI# 1083134605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083134605 |
| Entity Type | Individual |
| Full Name | TARA JEAN PETRUNGARO |
| Credential | LCSW |
| Practice Address |
1650 Sycamore Ave Ste 39 Bohemia NY 11716-1736 |
| Mailing Address |
179 Lorenzo Cir Lake Ronkonkoma NY 11779-2279 |
| Practice Telephone | 6317588290 |
| Mailing Telephone | 6317089309 |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2017-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
075742-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1650 SYCAMORE AVE STE 39 |
| City | BOHEMIA |
| State | NY |
| Zip Code | 11716-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568635167 | Mary Ellen Romano | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2008-04-04 |
| 1972138089 | Bernadette Gruol | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2020-03-09 |
| 1275168858 | Daniel Woods | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2020-03-04 |
| 1215586912 | Kaylee Marie Cirrito | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2019-09-05 |
| 1912554882 | Rachel Odonnell | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2019-08-24 |
| 1912480203 | Amy Bouziotis | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2018-09-12 |
| 1740708510 | Nikki Torretta | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2017-08-31 |
| 1801313895 | Erika M Isaksen | Counselor | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2017-08-29 |
| 1962746255 | Erica Smith | Psychologist | 1650 Sycamore Ave Ste 39, Bohemia, NY 11716-1736 | 2012-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548774631 | Laura M Goldschrafe | Midwife | 4875 Sunrise Hwy Ste 200, Bohemia, NY 11716 | 2017-11-28 |
| 1881141364 | Mas Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Kane Court, Huntington, NY 11716 | 2016-09-01 |
| 1255717252 | Lynne G Slovin | Social Worker | 700 Lakeland Avenue, Ste. 1c, Bohemia, NY 11716 | 2015-08-03 |
| 1194164855 | Michelle Lynn Salz | Midwife | 4875 Sunrise Highway, Bohemia, NY 11716 | 2013-06-17 |
| 1700222411 | Caring Hands | Home Health | 21 Carolyn Ct, Bohemia, NY 11716 | 2013-05-21 |
| 1619210069 | Michael Roche | Counselor | 1650 Syamore Ave, Suite 39, Bohemia, NY 11716 | 2013-04-04 |
| 1063727949 | Diane Alana Dicarlo | Acupuncturist | 638 Ocean Avenue, Bohemia, NY 11716 | 2010-08-16 |
| 1467786632 | Elaina Andersen | Occupational Therapist | 907 Sycamore Avenue, Bohemia, NY 11716 | 2009-09-22 |
| 1356518484 | Kenneth John Grau | Speech-Language Pathologist | 45 Crossways East Rd, Saul &elainne Seiff Educare Center, Bohemia, NY 11716 | 2008-05-08 |
| 1790907574 | Thomas J Riviello | Counselor | 600 Johnson Avenue, Bohemia, NY 11716 | 2007-05-02 |
| Find all providers in zip 11716 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278378 | Frances A Wozniak | Social Worker | 1431 Locust Ave, Bohemia, NY 11716-2183 | 2020-08-31 |
| 1093336307 | Sunshine Therapy Lcsw PC | Social Worker | 606 Johnson Ave Ste 30, Bohemia, NY 11716-2688 | 2020-04-28 |
| 1356977177 | Suffolk Family Therapy Lcsw PC | Social Worker | 606 Johnson Ave Ste 34, Bohemia, NY 11716-2689 | 2020-03-13 |
| 1154897270 | Trisha Rossi | Social Worker | 1500 Ocean Ave Ste D, Bohemia, NY 11716-1924 | 2018-10-16 |
| 1114453305 | Lisa Newman | Social Worker | 793 Sycamore Ave, Bohemia, NY 11716-3514 | 2017-05-07 |
| 1255717252 | Lynne G Slovin | Social Worker | 700 Lakeland Avenue, Ste. 1c, Bohemia, NY 11716 | 2015-08-03 |
| 1861765356 | Jill Brown | Social Worker | 193 Central Ave, Bohemia, NY 11716-3108 | 2012-02-15 |
| 1003111733 | Susan Beth Koenig | Social Worker | 600 Johnson Ave, Suite B7, Bohemia, NY 11716-2614 | 2011-01-11 |
| 1568763308 | Cheryl Lynn Hecht | Social Worker | 606 Johnson Ave, Ste 12, Bohemia, NY 11716-2686 | 2010-11-10 |
| 1881831949 | Jennifer Dana Whaley Gundersen | Social Worker | 600 Johnson Ave Ste C13, Bohemia, NY 11716-2674 | 2009-01-12 |
| Find all providers in BOHEMIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.