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LEANN RIDULFO LCSW
NPI 1902262959
Social Worker - Clinical in Bayshore, NY

Active since January 06, 2016PECOS EnrolledAccepts Medicare Assignment
1448 FIFTH AVENUE, BAYSHORE, NY 11706(631) 309-6837 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Jun 11, 2021 (2 updates tracked since 2021).

About Leann Ridulfo Lcsw NPPES

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

LEANN RIDULFO LCSW (NPI 1902262959) is an individual clinical provider in Bayshore, New York and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902262959
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLEANN RIDULFOCredential: LCSW
Location Address1448 FIFTH AVENUEBayshore, NY 11706
Mailing Address475 E Main St Ste 101East Patchogue, NY 11772-3121 · (631) 363-2001
Phone(631) 309-6837
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 6, 2016
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1902262959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 096791-1 (NY)
1448 FIFTH AVENUE, Bayshore, NY 11706
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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

Leann Ridulfo 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 ID1759762107
PECOS Enrollment IDI20220718001067
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 11706 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 Leann Ridulfo's NPI number?

The NPI number for Leann Ridulfo is 1902262959. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Leann Ridulfo located?

Leann Ridulfo practices at 1448 Fifth Avenue, Bayshore, NY 11706. The listed phone number is (631) 309-6837.

What is Leann Ridulfo's specialty?

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

Is Leann Ridulfo enrolled in Medicare?

Yes. Leann Ridulfo 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.

When was this NPI record last updated?

The NPPES record for Leann Ridulfo was last updated on July 21, 2021. 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.