JERALDINE FEDORIW LMSW
NPI 1215528401
Social Worker in Massapequa, NY

Q: What is Jeraldine Fedoriw's NPI number?

The NPI number for Jeraldine Fedoriw is 1215528401. It was assigned to this individual provider in the NPPES registry on January 29, 2021.

Q: What is Jeraldine Fedoriw's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jeraldine Fedoriw was last updated on January 29, 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.

Active since January 29, 2021PECOS EnrolledAccepts Medicare Assignment

727 N BROADWAY STE C1, MASSAPEQUA, NY 11758(646) 580-1008 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeraldine Fedoriw Lmsw NPPES

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

JERALDINE FEDORIW LMSW (NPI 1215528401) is an individual social worker in Massapequa, New York, licensed in New York (069267-1) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1215528401

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJERALDINE FEDORIWCredential: LMSW

Location Address727 N BROADWAY STE C1Massapequa, NY 11758-2348

Mailing Address645 Parkside BlvdMassapequa, NY 11758-4226 · (917) 832-0493

Phone(646) 580-1008

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 29, 2021

NPPES CertifiedJanuary 26, 2021

✔ NPI 1215528401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 069267-1

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

727 N BROADWAY STE C1, Massapequa, NY 11758

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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 and accepts Medicare assignment

Jeraldine Fedoriw Lmsw 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 ID5294142196

PECOS Enrollment IDI20210319001922

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.

Other Providers at the Same Location NPPES 20

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

CONOR ALUND

Social Worker