SHMUEL ZISU LCSW
NPI 1285886069
Social Worker - Clinical in South Ozone Park, NY

Q: What is Shmuel Zisu's NPI number?

The NPI number for Shmuel Zisu is 1285886069. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Q: What is Shmuel Zisu's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shmuel Zisu was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 October 13, 2008PECOS EnrolledAccepts Medicare Assignment

10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420(718) 845-2620(718) 845-9380 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shmuel Zisu Lcsw NPPES

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

SHMUEL ZISU LCSW (NPI 1285886069) is an individual clinical provider in South Ozone Park, New York, licensed in New York (00080778-1) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1285886069

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameSHMUEL ZISUCredential: LCSW

Location Address10819 ROCKAWAY BLVDSouth Ozone Park, NY 11420-1034

Mailing Address10819 Rockaway BlvdSouth Ozone Park, NY 11420-1034 · (718) 845-2620 · Fax (718) 845-9380

Phone(718) 845-2620

Fax(718) 845-9380

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateOctober 13, 2008

Last NPPES UpdateJune 4, 2013

✔ NPI 1285886069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 00080778-1

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 077996 (NY)

10819 ROCKAWAY BLVD, South Ozone Park, NY 11420

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Other Identifiers 2

Medicaid00077996NY

Medicaid00080778-1NY

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

Shmuel Zisu Lcsw 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 ID9931333093

PECOS Enrollment IDI20131004000180

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

2,731 services155 patients

Group psychotherapy 90853

Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.

525 services64 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

78 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11420 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.

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.

AMANDA KHAN

Counselor (Addiction (Substance Use Disorder))