MS. SHERRY MEDEROS (NPI# 1639320351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639320351 |
| Entity Type | Individual |
| Full Name | MS. SHERRY MEDEROS |
| Credential | LCSW, CASAC |
| Practice Address |
830 Howard Ave Copiague NY 11726-3910 |
| Practice Telephone | 6317660489 |
| Practice Fax Number | 6314663344 |
| Mailing Telephone | 6317660489 |
| Mailing Fax Number | 6314663344 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2015-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
070356-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02791091 | 05 |
| Street Address |
830 HOWARD AVE |
| City | COPIAGUE |
| State | NY |
| Zip Code | 11726-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205025 | Itav - Nurse Practitioner Family Health Pllc | Nurse Practitioner | 695 Marconi Blvd #436, Copiague, NY 11726 | 2019-10-07 |
| 1144705005 | Lauren Lauria-urquhart | Licensed Practical Nurse | 27 East Gate, Copiague, NY 11726 | 2018-09-26 |
| 1295215929 | Adero Gaudin | Registered Nurse | 162 Cedar Court, Copiague, NY 11726 | 2018-08-21 |
| 1255838470 | Jasmine Nichole Walker | Behavioral Analyst | 70 Wartburg Ave, Copiague, NY 11726 | 2018-04-13 |
| 1275080764 | Jennifer Lindner | Specialist | 40 Shore Drive W, Copiague, NY 11726 | 2016-09-01 |
| 1417403627 | Alexa Aragona | Specialist | 95 Abbington Ct, Copiague, NY 11726 | 2016-08-28 |
| 1396102091 | Federation of Organizations for The New York State for The Mentally Di | Counselor | 1375 Akron St, Copiague, NY 11726 | 2016-01-26 |
| 1992060560 | Jolie Dichter | Psychologist | 1100 Dixon Avenue, Copiague High School, Copiague, NY 11726 | 2012-07-10 |
| 1972897452 | Elaine James | Licensed Practical Nurse | 58-34 Street, Copiague, NY 11726 | 2011-06-02 |
| 1710131719 | Malgorzata Na Kopec | Dentist | 1635 Great Neck Road, Copiague, NY 11726 | 2008-11-05 |
| Find all providers in zip 11726 | ||||
| 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 |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1306838057 | Constance M Kash | Social Worker | 910 Montauk Hwy, Copiague, NY 11726-4927 | 2005-08-18 |
| 1598362576 | Fanchette Grunblatt | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2020-10-03 |
| 1386259190 | Jacob Leib Cooper | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2020-09-09 |
| 1902441520 | John French Mackay IIi | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2019-11-07 |
| 1629553193 | Alyssa Mallia | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2018-10-01 |
| 1407380157 | Maria Christiansen | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2017-04-19 |
| 1881144558 | Lucy St. Hilaire | Social Worker | 445 Oak St, 2nd Floor, Copiague, NY 11726-3111 | 2016-10-06 |
| 1457658478 | Nicole Tavitian | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2011-02-28 |
| 1992945075 | Linda D Stember | Social Worker | 445 Oak St, Copiague, NY 11726-3111 | 2009-03-02 |
| Find all providers in COPIAGUE | ||||
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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.