DOROTHY J. WHALEN LCSW,RN, CASAC
NPI 1265593180
Counselor - Mental Health in Cross River, NY
About Dorothy J. Whalen Lcsw,rn, Casac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHY J. WHALEN LCSW,RN, CASAC (NPI 1265593180) is an individual mental health provider in Cross River, New York, licensed in New York (RO39310-1) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dorothy J. Whalen Lcsw,rn, 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.
Medicare Billing Reassignment
Medicare enrollment records show Dorothy Whalen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Somers, NY 10589
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Dorothy Whalen's NPI number?
The NPI number for Dorothy Whalen is 1265593180. It was assigned to this individual provider in the NPPES registry on December 13, 2006. The provider is also known as Dorothy J. Whalen Lcsw Rn Acsw.
Where is Dorothy Whalen located?
Dorothy Whalen practices at 54 Winterberry Circle, Cross River, Ny, Usa, Cross River, NY 10518. The listed phone number is (845) 661-7622.
What is Dorothy Whalen's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Dorothy Whalen enrolled in Medicare?
Yes. Dorothy Whalen 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.
Which organization bills Medicare for Dorothy Whalen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dorothy Whalen reassigns Medicare benefits to Dorothy Whalen Lcsw PC (Somers, 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 Dorothy Whalen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dorothy Whalen accept?
Health plans from Oscar Health list Dorothy Whalen 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 Dorothy Whalen was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dorothy J. Whalen, LCSW,RN, CASAC · NPI 1265593180
Mental Health provider in Cross River, New York. Individual provider, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1265593180 (Entity type: Individual)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** RO39310-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 54 WINTERBERRY CIRCLE, CROSS RIVER, NY, USA, Cross River, NY 10518-1310
- **Phone:** (845) 661-7622 · **Fax:** (914) 669-8361
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Dorothy Whalen Lcsw PC (NPI 1831538347, Somers, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** June 22, 2023
- **Other identifiers:** Other R039319-1 (NY); Other 3771 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1265593180) · Data from the CMS NPPES public registry.