CHARISSE CIVIL - NPI 1083144117 - Social Worker in Garden City, NY

Q: What is Charisse Civil's NPI number?

The NPI number for Charisse Civil is 1083144117. It was assigned to this individual provider in the NPPES registry on June 12, 2017.

Q: What is Charisse Civil's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charisse Civil was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Charisse Civil NPPES

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

CHARISSE CIVIL (NPI 1083144117) is an individual clinical provider in Garden City, New York, licensed in New York (095454) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083144117

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCHARISSE CIVIL

Location Address1399 FRANKLIN AVEGarden City, NY 11530-7400

Mailing Address667 Stoneleigh Ave Ste 202Carmel, NY 10512-2455 · (845) 279-5908 · Fax (845) 622-5055

Phone(917) 563-3350

Sole ProprietorYes

Enumeration DateJune 12, 2017

Last NPPES UpdateJuly 21, 20264 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1083144117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 095454

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.

1399 FRANKLIN AVE, Garden City, NY 11530

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charisse Civil is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.