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JEANNE R SQUIRES LCSW,BCD
NPI 1659452431
Social Worker - Clinical in Ronkonkoma, NY

Active since October 18, 2006PECOS Enrolled
21 CROYDON AVE, RONKONKOMA, NY 11779(631) 696-7777(631) 696-1034 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanne R Squires Lcsw,bcd NPPES

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

JEANNE R SQUIRES LCSW,BCD (NPI 1659452431) is an individual clinical provider in Ronkonkoma, New York, licensed in New York (R030677) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659452431
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEANNE R SQUIRESCredential: LCSW,BCD
Location Address21 CROYDON AVERonkonkoma, NY 11779-1947
Mailing Address21 Croydon AveRonkonkoma, NY 11779-1947 · (631) 696-7777 · Fax (631) 696-1034
Phone(631) 696-7777
Fax(631) 696-1034
Sole ProprietorYes
Enumeration DateOctober 18, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1659452431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · R030677
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.
21 CROYDON AVE, Ronkonkoma, NY 11779
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Other Identifiers 3

Medicare UPINR48698NY
Other37412PNY · Hip Prov Number
Medicare ID-Type UnspecifiedN76771NY · Medicare Provider

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne R Squires Lcsw,bcd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 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.

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 Jeanne Squires's NPI number?

The NPI number for Jeanne Squires is 1659452431. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Jeanne Squires located?

Jeanne Squires practices at 21 Croydon Ave, Ronkonkoma, NY 11779. The listed phone number is (631) 696-7777.

What is Jeanne Squires's specialty?

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

Is Jeanne Squires enrolled in Medicare?

Yes. Jeanne Squires is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanne Squires was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.