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GEORGE KERRIGAN
NPI 1396331658
Social Worker in Ronkonkoma, NY

Active since December 21, 2020PECOS EnrolledAccepts Medicare Assignment
153A LAKE SHORE ROAD, RONKONKOMA, NY 11779(631) 306-5748(631) 237-3480 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About George Kerrigan NPPES

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

GEORGE KERRIGAN (NPI 1396331658) is an individual social worker in Ronkonkoma, New York, licensed in New York (106395) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1396331658
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameGEORGE KERRIGAN
Location Address153A LAKE SHORE ROADRonkonkoma, NY 11779
Mailing Address153a Lake Shore RoadRonkonkoma, NY 11779 · (631) 306-5748 · Fax (631) 237-3480
Phone(631) 306-5748
Fax(631) 237-3480
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 21, 2020
NPPES CertifiedDecember 21, 2020
✔ NPI 1396331658 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 · 106395
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.
153A LAKE SHORE ROAD, Ronkonkoma, NY 11779
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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

George Kerrigan 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 ID6002295052
PECOS Enrollment IDI20220622000023
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 Reassignments

5

Medicare enrollment records show George Kerrigan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Talkspace Medical Services Ny PC
45 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 94 clinicians in this Medicare group
NPI 1790475556 (212) 284-7206
Talkspace Provider Network Ca PC
45 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, California enrollment
  • 97 clinicians in this Medicare group
NPI 1003506866 (212) 284-7206
Talkspace Provider Network PA
45 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, New Hampshire enrollment
  • 19 clinicians in this Medicare group
NPI 1639814049 (212) 284-7206
Knapp Street Psychiatry, PC
46 mi
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1043248776 (888) 515-3834
Che Senior Psychological Services, PC
47 mi
Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
NPI 1023078219 (888) 515-3834

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 George Kerrigan's NPI number?

The NPI number for George Kerrigan is 1396331658. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Where is George Kerrigan located?

George Kerrigan practices at 153A Lake Shore Road, Ronkonkoma, NY 11779. The listed phone number is (631) 306-5748.

What is George Kerrigan's specialty?

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

Is George Kerrigan enrolled in Medicare?

Yes. George Kerrigan 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 organizations bill Medicare for George Kerrigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Kerrigan reassigns Medicare benefits to 5 organizations: Talkspace Medical Services Ny PC (New York, NY), Talkspace Provider Network Ca PC (New York, NY), Talkspace Provider Network PA (New York, NY), Knapp Street Psychiatry, PC (Brooklyn, NY) and Che Senior Psychological Services, PC (Brooklyn, NY). Each 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 George Kerrigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for George Kerrigan was last updated on December 21, 2020. 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.