MRS. LORI ROSE MUSCARA LCSW
NPI 1801106554
Social Worker - Clinical in West Babylon, NY

Active since October 15, 2010PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
580 SUNRISE HWY, WEST BABYLON, NY 11704(516) 287-0589 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lori Rose Muscara Lcsw NPPES

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

MRS. LORI ROSE MUSCARA LCSW (NPI 1801106554) is an individual clinical provider in West Babylon, New York, licensed in New York (084507) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1801106554
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LORI ROSE MUSCARACredential: LCSW
Location Address580 SUNRISE HWYWest Babylon, NY 11704-6000
Mailing Address580 Sunrise HwyWest Babylon, NY 11704-6000 · (631) 482-9845 · Fax (631) 669-8763
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 15, 2010
Last NPPES UpdateDecember 20, 2016
NPI 1801106554 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 · 084507
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.

580 SUNRISE HWY, West Babylon, NY 11704

Other Names 1

Former Name (1)Ms. Lori Rose Rak Lcsw

Accepted Insurance

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

Mrs. Lori Rose Muscara 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 ID5193009504
PECOS Enrollment IDI20170303000231
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 2

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, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
212 services22 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
580 SUNRISE HWY
WEST BABYLON, NY 11704
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Social Worker (Clinical)
580 SUNRISE HWY
WEST BABYLON, NY 11704
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Psychiatry & Neurology (Geriatric Psychiatry)
580 SUNRISE HWY
WEST BABYLON, NY 11704
Physician Assistant (Medical)
580 SUNRISE HWY
WEST BABYLON, NY 11704
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704
Family Medicine
580 SUNRISE HWY
WEST BABYLON, NY 11704

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 Lori Muscara's NPI number?

The NPI number for Lori Muscara is 1801106554. It was assigned to this individual provider in the NPPES registry on October 15, 2010.

Where is Lori Muscara located?

Lori Muscara practices at 580 Sunrise Hwy, West Babylon, NY 11704. The listed phone number is (516) 287-0589.

What is Lori Muscara's specialty?

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

Is Lori Muscara enrolled in Medicare?

Yes. Lori Muscara 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.

What insurance does Lori Muscara accept?

Health plans from Providence Health Plan list Lori Muscara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lori Muscara was last updated on December 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.