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Michelle Klinkowize , LMSW

Counselor β€’ Plainview, NY

Active NPI 1912367822 Individual Practitioner Female Practitioner
Practice location in NPPES

255 Executive Dr Ste Ll108
Plainview, NY 11803

Call 5165762040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

255 Executive Dr Ste Ll108

Plainview, NY 11803

Telephone 5165762040
Fax 5165762131
Organization at the Same NPPES Address or Phone
All About Kids, Slp, Ot, Pt, Lmsw, Psychology, P.l.l.c. Facility NPI 1083987341

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dix Hills, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Plainview and New York

5 active clinicians are listed under Counselor with a practice address in Plainview, NY (3,939 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

License # reported to NPPES NY 049163-1

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Secondary Practice Locations

8 Addison Pl

Dix Hills, NY 117466802

Phone: 6467011302

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Linda Cole

Speech-Language Pathologist

NPI 1417295874
Chelsea Gonsalves

Occupational Therapist

NPI 1811442148
Stephanie Levenberg , OTR, L

Occupational Therapist

NPI 1750985255

Occupational Therapist Registered, L

Erin Sullivan , OTR, L

Occupational Therapist - Pediatrics

NPI 1083206544

Occupational Therapist Registered, L

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location August 07, 2018

Registered at 255 EXECUTIVE DR STE LL108, PLAINVIEW, NY 11803 (Tel: 5165762040)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Case Manager/Care Coordinator

βœ…
NPI Profile Active March 04, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 04, 2016

Registered at 8 ADDISON PL, DIX HILLS, NY 117466802 (Tel: 6467011302)

πŸ“
Business Mailing Address (Initial Record) March 04, 2016

Registered at 8 ADDISON PL, DIX HILLS, NY 117466802 (Tel: 6467011302)

πŸ‘€
Provider Name / Credentials (Initial Record) March 04, 2016

Recorded as MICHELLE KLINKOWIZE, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2016

Counselor (license number reported to NPPES: NY 049163-1)

🟒
Initial NPI Registration & Enumeration March 04, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1912367822
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2016
Last Update: August 07, 2018
Sole Proprietor: Yes

Mailing Address

8 Addison Pl

Dix Hills, NY 117466802

Phone: 6467011302

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.