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IVY FIROUZTALE
NPI 1144620089
Social Worker - Clinical in Dix Hills, NY

Active since August 28, 2014Opted out of Medicare · through Jan 26, 2028
2 PUDDING LN, DIX HILLS, NY 11746(631) 432-8424 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Firouztale NPPES

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

IVY FIROUZTALE (NPI 1144620089) is an individual clinical provider in Dix Hills, New York, licensed in New York (078295-1) and active in the NPI registry since August 2014. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1144620089
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIVY FIROUZTALE
Location Address2 PUDDING LNDix Hills, NY 11746-6118
Mailing Address2 Pudding LnDix Hills, NY 11746-6118 · (631) 432-8424
Phone(631) 432-8424
Sole ProprietorNo
Enumeration DateAugust 28, 2014
Last NPPES UpdateMay 3, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1144620089 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 · 078295-1
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.
2 PUDDING LN, Dix Hills, NY 11746
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Other Names 1

Former Name (1)Ivy Closky Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ivy Firouztale has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2022 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2022
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

LIFE TRANSITIONS COUNSELING LCSW, PLLC
Social Worker (Clinical)
2 PUDDING LN
DIX HILLS, NY 11746
Suffolk County (631) 432-8424

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 Ivy Firouztale's NPI number?

The NPI number for Ivy Firouztale is 1144620089. It was assigned to this individual provider in the NPPES registry on August 28, 2014. The provider is also known as Ivy Closky Lcsw.

Where is Ivy Firouztale located?

Ivy Firouztale practices at 2 Pudding Ln, Dix Hills, NY 11746. The listed phone number is (631) 432-8424.

What is Ivy Firouztale's specialty?

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

Is Ivy Firouztale enrolled in Medicare?

No. Ivy Firouztale has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ivy Firouztale was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.