EB LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC
NPI 1407680648
Clinic/Center - Mental Health (Including Community Mental Health Center) in Woodbury, NY
About Eb Licensed Clinical Social Work Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EB LICENSED CLINICAL SOCIAL WORK SERVICES, PLLC (NPI 1407680648) is a healthcare organization registered as a mental health (including community mental health center) in Woodbury, New York and active in the NPI registry since August 2024. The organization lists Sing Kit Keith Chan, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eb Licensed Clinical Social Work Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Eb Licensed Clinical Social Work Services, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Eb Licensed Clinical Social Work Services, PLLC's NPI number?
The NPI number for Eb Licensed Clinical Social Work Services, PLLC is 1407680648. It was assigned to this organization in the NPPES registry on August 29, 2024.
Where is Eb Licensed Clinical Social Work Services, PLLC located?
Eb Licensed Clinical Social Work Services, PLLC is located at 65 Froehlich Farm Blvd # 812W, Woodbury, NY 11797. The listed phone number is (516) 587-4312.
What is Eb Licensed Clinical Social Work Services, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Eb Licensed Clinical Social Work Services, PLLC enrolled in Medicare?
Yes. Eb Licensed Clinical Social Work Services, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eb Licensed Clinical Social Work Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Eb Licensed Clinical Social Work Services, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eb Licensed Clinical Social Work Services, PLLC was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eb Licensed Clinical Social Work Services, Pllc · NPI 1407680648
Mental Health (Including Community Mental Health Center) organization in Woodbury, New York. Organization record, active in the CMS NPPES registry since August 29, 2024.
## Identity
- **NPI:** 1407680648 (Entity type: Organization)
- **Enumerated:** August 29, 2024
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Sing Kit Chan, MANAGER
## Practice location
- **Address:** 65 FROEHLICH FARM BLVD # 812W, Woodbury, NY 11797-2926
- **Phone:** (516) 587-4312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407680648) · Data from the CMS NPPES public registry.