ELENA BETH LICANDRO (NPI# 1639640394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639640394 |
| Entity Type | Individual |
| Full Name | ELENA BETH LICANDRO |
| Credential | LMSW |
| Practice Address |
1324 Motor Pkwy Ste 104 Hauppauge NY 11749-5226 |
| Practice Telephone | 6317616700 |
| Practice Fax Number | 6317616699 |
| Mailing Telephone | 6317616700 |
| Mailing Fax Number | 6317616699 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 105308 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1324 MOTOR PKWY STE 104 |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 11749-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479825 | Christine Marie Scholl | Social Worker | 1324 Motor Pkwy Ste 104, Hauppauge, NY 11749-5226 | 2018-12-18 |
| 1083185276 | Leah Tremblay | Social Worker | 1324 Motor Pkwy Ste 104, Hauppauge, NY 11749-5226 | 2018-12-16 |
| 1942771662 | Kimberly Ann Hart | Social Worker | 1324 Motor Pkwy Ste 104, Hauppauge, NY 11749-5226 | 2018-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949248 | All Island Medical Services. P.C. | Neurological Surgery | 1717 Veterans Memorial Highway, Suite 2, Islandia, NY 11749 | 2020-04-01 |
| 1184041030 | Sarah Tran | Obstetrics & Gynecology | 3001 Expressway Dr N Ste 116, Islandia, NY 11749 | 2014-03-27 |
| 1275966913 | Viney Mathews | Counselor | 208 Towne House Village, Islandia, NY 11749 | 2013-08-16 |
| 1295170223 | Lawrence Allen Weinberg | Dentist | 68 Sutton Pl, Islandia, NY 11749 | 2013-05-03 |
| 1548517394 | Patricia D Glick | Behavioral Analyst | 1737 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 | 2012-08-11 |
| 1104189554 | Stacey B Ratner | Specialist | 1737 Veterans Memorial Hwy, Islandia, NY 11749 | 2012-06-20 |
| 1851665111 | Fashion Arcade Optics, Inc | Technician/Technologist | 1744 Veneran's Memorial Hwy, Islandia, NY 11749 | 2012-03-05 |
| 1689964132 | Maggie Jean Fils Inc | Physical Therapy Assistant | 84 Salebrush Lane, Islandia, NY 11749 | 2011-04-18 |
| 1174783914 | Deborah Duffy Adkins | Nurse Practitioner | 3001 Expressway Dr North, Suite 200b, Islandia, NY 11749 | 2008-06-16 |
| 1912103086 | Jaime Patricia Spencer | Occupational Therapist | 719 Townehouse, Vlg. Dr., Hauppauge, NY 11749 | 2007-06-25 |
| Find all providers in zip 11749 | ||||
| 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 |
|---|---|---|---|---|
| 1588123681 | Caitlin Dunne | Social Worker | 272 Bow Dr, Hauppauge, NY 11788-1624 | 2019-03-18 |
| 1528523180 | Kelly Johnson-sally | Social Worker | 490 Wheeler Rd Ste 102, Hauppauge, NY 11788-4367 | 2019-02-07 |
| 1336673318 | Cornerstone Developmental Psychology | Social Worker | 750 Vets Hwy, Suite 202, Hauppauge, NY 11788-2943 | 2017-04-17 |
| 1528517927 | Sheila B Goloboy | Social Worker | 9 Plantation Dr, Hauppauge, NY 11788-2700 | 2016-09-26 |
| 1215331079 | New Horizons Lcsw, PC | Social Worker | 12 Gatewood Dr, Hauppauge, NY 11788-1011 | 2014-10-22 |
| 1902122070 | Janine Roni Garner | Social Worker | 155 Wedgewood Dr, Hauppauge, NY 11788-3417 | 2010-04-14 |
| 1932312113 | Elaine M Mcquillan | Social Worker | North County Complex Clinic Youth Adult Program, Bldg 151, Hauppauge, NY 11788 | 2007-05-07 |
| 1689890402 | Sage P Gargano | Social Worker | 725 Veterans Memorial Hwy, Bldg 151 North County Complex, Hauppauge, NY 11788 | 2007-04-18 |
| 1396734257 | Lawrence B Greenberg | Social Worker | 330 Motor Pkwy, Suite 204, Hauppauge, NY 11788-5104 | 2005-10-13 |
| 1659979607 | Anthony J Gibson | Social Worker | 90 Adams Ave, Hauppauge, NY 11788 | 2020-10-13 |
| Find all providers in HAUPPAUGE | ||||
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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.