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PAULA GONTHIER LCSW
NPI 1265045256
Social Worker - Clinical in Smithtown, NY

Active since August 28, 2020PECOS Enrolled
496 SMITHTOWN BYP STE 203, SMITHTOWN, NY 11787(631) 371-3825(631) 382-8250 Get Directions Write a Review

NPPES record last updated: August 28, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Paula Gonthier Lcsw NPPES

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

PAULA GONTHIER LCSW (NPI 1265045256) is an individual clinical provider in Smithtown, New York and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1265045256
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePAULA GONTHIERCredential: LCSW
Location Address496 SMITHTOWN BYP STE 203Smithtown, NY 11787-5011
Mailing Address42 Woodland RdGlen Head, NY 11545-2318 · (516) 448-1101
Phone(631) 371-3825
Fax(631) 382-8250
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 28, 2020
NPPES CertifiedAugust 28, 2020
✔ NPI 1265045256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
496 SMITHTOWN BYP STE 203, Smithtown, NY 11787
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula Gonthier Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254718323
PECOS Enrollment IDI20220510002047
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.

Medicare Billing Reassignment

Medicare enrollment records show Paula Gonthier reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rachel Lessard Lcsw PC
1.8 mi
Clinical
496 SMITHTOWN BYP STE 203
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1427693217 (631) 371-3825

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11787 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 16

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

CHELSEA BELL
Social Worker
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
MRS. STEPHANIE A DICK MSW
Social Worker
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
STEPHANIE PROCOPIOU
Counselor (Mental Health)
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
RACHEL LESSARD LCSW PC
Social Worker (Clinical)
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
STEPHANIE ROTOLA LMSW
Social Worker
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
EMILY ENGLISH LMSW
Social Worker
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
MARIAH SIMONE
Counselor (Mental Health)
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (631) 371-3825
MRS. LAUREN STACIE MCCABE LCSW
Social Worker (Clinical)
496 SMITHTOWN BYP STE 203
SMITHTOWN, NY 11787
Suffolk County (516) 654-4715

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 Paula Gonthier's NPI number?

The NPI number for Paula Gonthier is 1265045256. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Paula Gonthier located?

Paula Gonthier practices at 496 Smithtown Byp Ste 203, Smithtown, NY 11787. The listed phone number is (631) 371-3825.

What is Paula Gonthier's specialty?

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

Is Paula Gonthier enrolled in Medicare?

Yes. Paula Gonthier is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paula Gonthier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paula Gonthier reassigns Medicare benefits to Rachel Lessard Lcsw PC (Smithtown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paula Gonthier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paula Gonthier accept?

Health plans from Oscar Health list Paula Gonthier 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 Paula Gonthier was last updated on August 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.