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CARMEN R CEBALLOS LCSW-R
NPI 1972675874
Social Worker - Clinical in Farmingdale, NY

Active since November 15, 2006PECOS Enrolled
100 BROADHOLLOW RD STE 108, FARMINGDALE, NY 11735(631) 769-7763(631) 769-7763 Get Directions Write a Review

NPPES record last updated: November 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carmen R Ceballos Lcsw-r NPPES

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

CARMEN R CEBALLOS LCSW-R (NPI 1972675874) is an individual clinical provider in Farmingdale, New York, licensed in New York (076791) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972675874
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARMEN R CEBALLOSCredential: LCSW-R
Location Address100 BROADHOLLOW RD STE 108Farmingdale, NY 11735-4813
Mailing Address100 Broadhollow Rd Ste 108Farmingdale, NY 11735-4813 · (631) 769-7763 · Fax (631) 769-7763
Phone(631) 769-7763
Fax(631) 769-7763
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateNovember 17, 2019
✔ NPI 1972675874 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 · 076791
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.
100 BROADHOLLOW RD STE 108, Farmingdale, NY 11735
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Other Identifiers 1

Other12769900Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen R Ceballos Lcsw-r 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.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Ceballos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Live Well Psychotherapy Lcsw PLLC
Same address
Clinical
100 BROADHOLLOW RD STE 108
Farmingdale, NY 11735
  • Reassigned Medicare billing, New York enrollment
NPI 1245995372 (631) 769-7763

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11735 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.

Other Providers at the Same Location NPPES

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

LIVE WELL PSYCHOTHERAPY LCSW PLLC
Social Worker (Clinical)
100 BROADHOLLOW RD STE 108
FARMINGDALE, NY 11735
Suffolk County (631) 769-7763

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 Carmen Ceballos's NPI number?

The NPI number for Carmen Ceballos is 1972675874. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Carmen Ceballos located?

Carmen Ceballos practices at 100 Broadhollow Rd Ste 108, Farmingdale, NY 11735. The listed phone number is (631) 769-7763.

What is Carmen Ceballos's specialty?

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

Is Carmen Ceballos enrolled in Medicare?

Yes. Carmen Ceballos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Ceballos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Ceballos reassigns Medicare benefits to Live Well Psychotherapy Lcsw PLLC (Farmingdale, NY). The 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 Carmen Ceballos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Ceballos was last updated on November 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.