Individual provider Active NPI

Linda Certo, LCSW

  • Clinical Social Worker
  • New Windsor, NY
National Provider Identifier
1013926864
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071314-1 Issued in NY
Practice address
67 Windsor Hwy
New Windsor, NY 12553-6200
Phone
(845) 562-6850
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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 071314-1 NY Primary

Addresses

Primary practice location

67 Windsor Hwy
New Windsor, NY 12553-6200

Mailing address

67 Windsor Hwy
New Windsor, NY 12553-6200
Phone (845) 562-6850

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
I20070519000048 NY Practitioner - Clinical Social Worker 0244337640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Supports for Living IncGroup PAC ID 8729992730, 41 clinicians

Practice addresses (Care Compare)

21 Grand St
Newburgh, NY 12550-5628
Phone (845) 562-7244

67 Windsor Hwy
New Windsor, NY 12553-6200
Phone (845) 562-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071314-1NYMDClinical Social Worker
063226NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Access: Supports for Living Inc Current Accepting new patients
Access: Supports for Living Inc CurrentSince Jan 1, 1997 Accepting new patients
Access: Supports for Living Inc. CurrentSince Jan 1, 1997 Accepting new patients

Locations

24 Union St
Middletown, NY 10940
Phone (845) 343-1173

67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850

15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1013926864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 WINDSOR HWY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536200",
            "telephone_number": "845-562-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WINDSOR HWY",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125536200",
            "telephone_number": "845-562-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERTO",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071314-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Windsor, NY

Sources for this page

Verify at the official NPI Registry.