NPIMap

Organization Active NPI

Judith Purdell-Heckathorn LCSW PLLC

  • Clinical Social Worker
  • Pine Bush, NY
National Provider Identifier
1003242439
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073465-1 Issued in NY
Legal business name
JUDITH PURDELL-HECKATHORN LCSW PLLC
Practice address
59 Boniface Dr
Pine Bush, NY 12566-7011
Phone
(845) 863-7792
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judith Purdell-Heckathorn, LCSWNPI 1770648800
Title
Owner
Phone
(845) 863-7792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073465-1 NY Primary

Addresses

Primary practice location

59 Boniface Dr
Pine Bush, NY 12566-7011

Mailing address

26 Crittenden St
Wallkill, NY 12589-3112
Phone (845) 863-7792

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1003242439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CRITTENDEN ST",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893112",
            "telephone_number": "845-863-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BONIFACE DR",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125667011",
            "telephone_number": "845-863-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH PURDELL-HECKATHORN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "PURDELL-HECKATHORN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-863-7792",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073465-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.