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KERI MICA LCSW PC
NPI 1053502518
Social Worker - Clinical in Rockville Centre, NY

Active since August 08, 2007
176 N VILLAGE AVE, SUITE 2E, ROCKVILLE CENTRE, NY 11570(516) 410-7138(516) 679-0736 Get Directions Write a Review

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keri Mica Lcsw Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERI MICA LCSW PC (NPI 1053502518) is a healthcare organization registered as a clinical in Rockville Centre, New York and active in the NPI registry since August 2007. The organization lists Keri Lynn Mica-suttmiller, President, as its authorized official.

NPPES Registry Identity

NPI1053502518
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameKERI MICA LCSW PC
Location Address176 N VILLAGE AVE, SUITE 2ERockville Centre, NY 11570-3800
Mailing Address111 Hart StreetLynbrook, NY 11563-1760 · (516) 410-7138 · Fax (516) 679-0736
Phone(516) 410-7138
Fax(516) 679-0736
Organization SubpartNo
Authorized OfficialKeri Lynn Mica-suttmillerPresident · (516) 410-7138
Enumeration DateAugust 8, 2007
✔ NPI 1053502518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
176 N VILLAGE AVE, Rockville Centre, NY 11570
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Other Identifiers 3

Medicare UPINQ62025NY
Medicare OSCAR/certificationN38T61NY
Medicaid02735202NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keri Mica Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Keri Mica Lcsw PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Keri Mica Suttmiller, LCSW
Clinical Social Worker
NPI 1689617490
176 N VILLAGE AVE SUITE 2E
Rockville Centre, NY 11570
(516) 410-7138
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keri Mica Lcsw PC's NPI number?

The NPI number for Keri Mica Lcsw PC is 1053502518. It was assigned to this organization in the NPPES registry on August 8, 2007.

Where is Keri Mica Lcsw PC located?

Keri Mica Lcsw PC is located at 176 N Village Ave Suite 2E, Rockville Centre, NY 11570. The listed phone number is (516) 410-7138.

What is Keri Mica Lcsw PC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Keri Mica Lcsw PC enrolled in Medicare?

Yes. Keri Mica Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keri Mica Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Keri Mica Lcsw PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keri Mica Lcsw PC was last updated on August 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.