Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336677350 Individual Practitioner Female Practitioner

Debra A Ciccarelli , LMSW

Specialist • Coram, NY

Professional Overview & Biography Verified Profile Summary

Debra Ciccarelli, LMSW is a registered healthcare professional specializing in Specialist in Coram, NY. Practice services are available at 979 SKYLINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

979 Skyline Dr

Coram, NY 117273670

Telephone 6317965725

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Coram, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Coram, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-29
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Social Worker

NUCC Taxonomy Code: 104100000X

State License NY 098657

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2017

Registered at 979 SKYLINE DR, CORAM, NY 117273670 (Tel: (631) 796-5725)

📍
Updated Business Mailing Address June 03, 2017

Registered at 979 SKYLINE DR, CORAM, NY 117273670 (Tel: 6317965725)

👤
Provider Name / Credentials Updated June 03, 2017

Recorded as DEBRA CICCARELLI, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2017

Social Worker (License #098657 in NY)

🟢
Initial NPI Registration & Enumeration June 03, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336677350
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2017
Last Update: April 29, 2023
Sole Proprietor: No

Mailing Address

979 Skyline Dr

Coram, NY 117273670

Phone: 6317965725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.