ALYSSA SARAH ATKINS - NPI 1902402084 - Social Worker in Port Jefferson, NY

Q: What is Alyssa Atkins's NPI number?

The NPI number for Alyssa Atkins is 1902402084. It was assigned to this individual provider in the NPPES registry on December 5, 2020.

Q: What is Alyssa Atkins's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Atkins was last updated on March 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alyssa Sarah Atkins NPPES

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

ALYSSA SARAH ATKINS (NPI 1902402084) is an individual social worker in Port Jefferson, New York, licensed in New York (107791) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902402084

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameALYSSA SARAH ATKINS

Location Address710 MAIN STPort Jefferson, NY 11777-2278

Mailing AddressPo Box 433Port Jefferson, NY 11777-0433

Phone(631) 757-5279

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 5, 2020

Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration

NPPES CertifiedMarch 5, 2026

✔ NPI 1902402084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 107791

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 095044-01 (NY)

710 MAIN ST, Port Jefferson, NY 11777

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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 (PECOS)

Alyssa Sarah Atkins is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496220543

PECOS Enrollment IDI20260407001676

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.