Individual provider Active NPI

Sarah E Lockhart-Palladino, LCSW-R

  • Clinical Social Worker
  • Glens Falls, NY
National Provider Identifier
1013039536
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076461-1 Issued in NY
Practice address
185 Bay St
Glens Falls, NY 12801-2306
Phone
(518) 480-4422
Fax
(518) 636-5184
NPI assigned
Apr 4, 2007
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076461-1 NY Primary

Addresses

Primary practice location

185 Bay St
Glens Falls, NY 12801-2306

Mailing address

185 Bay St
Glens Falls, NY 12801-2306
Phone (518) 480-4422

Other identifiers 1

IdentifierTypeStateIssuer
076461-1OtherNYUNIVERSITY OF NY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2019 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076461-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs Psychological Services PC Clinical PastSince Nov 1, 2007 Accepting new patients
Ecs Wellness Psychology PastSince Oct 6, 2019 Accepting new patients
Sarah Lockhart-Palladino LCSW PC Clinical Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1013039536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012306",
            "telephone_number": "518-480-4422",
            "fax_number": "518-636-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012306",
            "telephone_number": "518-480-4422",
            "fax_number": "518-636-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART-PALLADINO",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076461-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY OF NY LICENSE",
            "identifier": "076461-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.