MR. THEODORE L HERNITCHE JR. LCSW
NPI 1083724124
Social Worker - Clinical in Commack, NY

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
368 VETERANS MEMORIAL HWY, COMMACK, NY 11725(631) 863-2499 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Theodore L Hernitche Jr. Lcsw NPPES

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

MR. THEODORE L HERNITCHE JR. LCSW (NPI 1083724124) is an individual clinical provider in Commack, New York, licensed in New York (R038418-1) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1083724124
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THEODORE L HERNITCHE JR.Credential: LCSW
Location Address368 VETERANS MEMORIAL HWYCommack, NY 11725-4322
Mailing Address180 E Main St, Ste 202Smithtown, NY 11787-2800 · (631) 863-2499 · Fax (631) 406-6007
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateAugust 30, 2006
Last NPPES UpdateSeptember 11, 2017
NPI 1083724124 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 · R038418-1
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.
368 VETERANS MEMORIAL HWY, Commack, NY 11725

Other Identifiers 5

OtherP3385576NY · Oxford Provider #
OtherR038418-1NY · New York State License #
Other7481499NY · Ghi Pin #
OtherA347769NY · Valueoptions Vendor Id
OtherN7X831NY · Empire Bc/bs Provider Id

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Theodore L Hernitche Jr. Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739453846
PECOS Enrollment IDI20180327000126
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
181 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
368 VETERANS MEMORIAL HWY, STE 1
COMMACK, NY 11725
Social Worker (Clinical)
368 VETERANS MEMORIAL HWY, MAIN LEVEL, SUITE 1
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Nurse Practitioner (Psychiatric/Mental Health)
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725
Counselor (Mental Health)
368 VETERANS MEMORIAL HWY
COMMACK, NY 11725

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 Theodore Hernitche's NPI number?

The NPI number for Theodore Hernitche is 1083724124. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Theodore Hernitche located?

Theodore Hernitche practices at 368 Veterans Memorial Hwy, Commack, NY 11725. The listed phone number is (631) 863-2499.

What is Theodore Hernitche's specialty?

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

Is Theodore Hernitche enrolled in Medicare?

Yes. Theodore Hernitche is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Hernitche accept?

Health plans from Providence Health Plan list Theodore Hernitche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Hernitche was last updated on September 11, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.