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LIVING WATERS LCSW PC
NPI 1780856062
Social Worker - Clinical in Greenlawn, NY

Active since March 27, 2008
29 NORTHGATE DR, GREENLAWN, NY 11740(631) 271-0913(631) 261-3250 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Living Waters Lcsw Pc NPPES

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

LIVING WATERS LCSW PC (NPI 1780856062) is a healthcare organization registered as a clinical in Greenlawn, New York and active in the NPI registry since March 2008. The organization lists Carol Rubano, President, as its authorized official.

NPPES Registry Identity

NPI1780856062
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIVING WATERS LCSW PC
Location Address29 NORTHGATE DRGreenlawn, NY 11740-2312
Mailing Address29 Northgate DrGreenlawn, NY 11740-2312 · (631) 271-0913 · Fax (631) 261-3250
Phone(631) 271-0913
Fax(631) 261-3250
Organization SubpartNo
Authorized OfficialCarol RubanoPresident · (631) 754-3990
Enumeration DateMarch 27, 2008
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1780856062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
29 NORTHGATE DR, Greenlawn, NY 11740
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Living Waters Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Living Waters Lcsw PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Robert Clock, LCSW
Clinical Social Worker
NPI 1164630059
29 NORTHGATE DR
Greenlawn, NY 11740
(631) 271-0913
✔ PECOS✔ Accepts MedicareSame address
Gregory Muhs, LCSW
Clinical Social Worker
NPI 1932570124
29 NORTHGATE DR
Greenlawn, NY 11740
(631) 271-0913
✔ PECOS✔ Accepts MedicareSame address
Margo Messina, LCSW-R
Clinical Social Worker
NPI 1467678326
29 NORTHGATE DR
Greenlawn, NY 11740
(631) 271-0913
✔ PECOS✔ Accepts MedicareSame address
Carol Rubano, LCSW
Clinical Social Worker
NPI 1942300538
175 WOLF HILL RD
Melville, NY 11747
(631) 754-3990
✔ PECOS✔ Accepts Medicare4.0 mi
Bernadina Kerasiotis, NPP PSYD
Nurse Practitioner
NPI 1407980766
65 LESTER AVE
Freeport, NY 11520
(516) 672-5814
✔ PECOS✔ Accepts Medicare20 mi

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 Living Waters Lcsw PC's NPI number?

The NPI number for Living Waters Lcsw PC is 1780856062. It was assigned to this organization in the NPPES registry on March 27, 2008.

Where is Living Waters Lcsw PC located?

Living Waters Lcsw PC is located at 29 Northgate Dr, Greenlawn, NY 11740. The listed phone number is (631) 271-0913.

What is Living Waters Lcsw PC's specialty?

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

Is Living Waters Lcsw PC enrolled in Medicare?

Yes. Living Waters Lcsw PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Living Waters Lcsw PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Living Waters Lcsw PC. 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. The largest specialties are Clinical Social Worker (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Living Waters Lcsw PC was last updated on February 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.