MS. IRENE SOFIA KOUTSIDIS (NPI# 1518584341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518584341 |
| Entity Type | Individual |
| Full Name | MS. IRENE SOFIA KOUTSIDIS |
| Credential | LMSW |
| Practice Address |
79 Middleville Rd Northport NY 11768-2296 |
| Practice Telephone | 6312614400 |
| Mailing Telephone | 5164912972 |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2020-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 109203 | NY | Behavioral Health & Social Service Providers |
| Street Address |
79 MIDDLEVILLE RD |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-2296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417958471 | David Wayne Gately | Psychologist | 79 Middleville Rd, Va Medical Center, Psychology Service (116b), Northport, NY 11768-2200 | 2005-08-02 |
| 1497356174 | Cynthia Abigail Serrano-colon | Nurse Practitioner | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-11-08 |
| 1225636020 | Jessie Ryan Poznack | Pathology | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-10-14 |
| 1356958094 | Alex Myunghwan Shin | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-27 |
| 1407460470 | Kimberly Ann Smith | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-09-07 |
| 1790398634 | Simrit Kaur Virk | Optometrist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-29 |
| 1700499670 | Christine Palathinkal | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-08-28 |
| 1235748252 | Valerie Marie Campos | Registered Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-27 |
| 1124636634 | Da Som Kim | Pharmacist | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-07-21 |
| 1609498344 | Stephanie Guadagno | Licensed Practical Nurse | 79 Middleville Rd, Northport, NY 11768-2200 | 2020-05-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
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| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010530 | Chloe Elizabeth Lemza | Social Worker | 79 Middleville Rd # Sws122, Northport, NY 11768-2200 | 2020-07-09 |
| 1952952913 | Elise Dobson Ezelle | Social Worker | 11748 Arbor Oaks Rd, Northport, AL 35475-3675 | 2019-09-21 |
| 1497256028 | Lisa Marie Leib | Social Worker | 3 Brewster Ave, Northport, NY 11768-2616 | 2018-02-28 |
| 1104107481 | Fran Kriegel | Social Worker | 7 Brittany Ct, Northport, NY 11768-3223 | 2011-08-31 |
| 1023209657 | Ellen C Marchese | Social Worker | 27 Gun Club Rd, Northport, NY 11768 | 2007-08-08 |
| 1013069392 | Barbara Comforto | Social Worker | 15 Conifer Ct, Northport, NY 11768 | 2007-01-17 |
| 1063570950 | Katherine Elizabeth Box | Social Worker | 1295 Atlantic Hwy., Northport, ME 04849-3600 | 2006-12-05 |
| 1205890787 | Nancy H Johnson | Social Worker | 3306 Mayberry Landing Dr, Northport, AL 35473-1917 | 2006-04-13 |
| 1982673729 | Robert Theodore Mohr | Social Worker | 256 Main Street, Ste 201, Northport, NY 11768-1751 | 2006-03-15 |
| 1841282225 | Eleanor Frankel Perlman | Social Worker | 299 Main St, Suite 6, Northport, NY 11768-1755 | 2005-08-22 |
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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.