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RICHARD WALLACE KOFFLER CASAC
NPI 1154494102
Social Worker - Clinical in Bayside, NY

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
1666 BELL BLVD APT 724, BAYSIDE, NY 11360(917) 597-5592(718) 428-2705 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Wallace Koffler Casac NPPES

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

RICHARD WALLACE KOFFLER CASAC (NPI 1154494102) is an individual clinical provider in Bayside, New York, licensed in New York (R069801) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1154494102
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRICHARD WALLACE KOFFLERCredential: CASAC
Location Address1666 BELL BLVD APT 724Bayside, NY 11360-1656
Mailing Address1666 Bell Blvd Apt 724Bayside, NY 11360-1656 · (917) 597-5592 · Fax (718) 428-2705
Phone(917) 597-5592
Fax(718) 428-2705
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 16, 2024
NPPES CertifiedApril 16, 2024
✔ NPI 1154494102 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 · R069801
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.
1666 BELL BLVD APT 724, Bayside, NY 11360
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Richard Wallace Koffler Casac 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 ID2769551373
PECOS Enrollment IDI20080522000460
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 11360 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 $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Richard Koffler's NPI number?

The NPI number for Richard Koffler is 1154494102. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Richard Koffler located?

Richard Koffler practices at 1666 Bell Blvd Apt 724, Bayside, NY 11360. The listed phone number is (917) 597-5592.

What is Richard Koffler's specialty?

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

Is Richard Koffler enrolled in Medicare?

Yes. Richard Koffler 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 Richard Koffler accept?

Health plans from Providence Health Plan list Richard Koffler 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 Richard Koffler was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.