Individual provider Active NPI

Patrice Carrieri

  • Clinical Social Worker
  • West Nyack, NY
National Provider Identifier
1003242843
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081428-1 Issued in NY
Practice address
719 W Nyack Rd
Suite 40
West Nyack, NY 10994-2240
Phone
(845) 353-2300
Fax
(845) 353-2301
NPI assigned
Sep 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 081428-1 NY Primary
Clinical Social Worker 1041C0700X 44SC05553000 NJ

Addresses

Primary practice location

719 W Nyack Rd
Suite 40
West Nyack, NY 10994-2240

Mailing address

719 W Nyack Rd
Suite 40
West Nyack, NY 10994-2240
Phone (845) 353-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921000393 NY Practitioner - Clinical Social Worker 9335436484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Turning Point Behavioral Health LCSW PLLCGroup PAC ID 4082901137, 6 clinicians

Practice addresses (Care Compare)

719 W Nyack Rd
Suite 40
West Nyack, NY 10994-2241
Phone (845) 353-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05553000NJMDClinical Social Worker
081428-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Behavioral Health, LCSW, PLLC Clinical CurrentSince Jun 15, 2016 Accepting new patients

Locations

719 W Nyack Rd
Ste 40
West Nyack, NY 10994
Phone (845) 353-2300

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1003242843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W NYACK RD",
            "address_2": "SUITE 40",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942240",
            "telephone_number": "845-353-2300",
            "fax_number": "845-353-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W NYACK RD",
            "address_2": "SUITE 40",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942240",
            "telephone_number": "845-353-2300",
            "fax_number": "845-353-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIERI",
        "first_name": "PATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081428-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05553000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.