Individual provider Active NPI

Alison Hicks Van Tassel, LCSW

  • Clinical Social Worker
  • Copake, NY
National Provider Identifier
1023860749
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097056-01 Issued in NY
Practice address
384 Farm Rd
Copake, NY 12516-1614
Phone
(518) 755-0207
NPI assigned
Apr 4, 2024
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 097056-01 NY Primary

Addresses

Primary practice location

384 Farm Rd
Copake, NY 12516-1614

Mailing address

384 Farm Rd
Copake, NY 12516-1614
Phone (518) 755-0207

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
I20240515000963 NY Practitioner - Clinical Social Worker 7012358583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia CountyGroup PAC ID 8022003409, 16 clinicians

Practice addresses (Care Compare)

325 Columbia St
Suite 300
Hudson, NY 12534-1931
Phone (518) 828-9446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097056-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County CurrentSince Apr 5, 2024 Accepting new patients
Columbia County CurrentSince Apr 5, 2024 Accepting new patients

Locations

325 Columbia St
Ste 300
Hudson, NY 12534

Organizations & group practices 2

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": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1023860749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 FARM RD",
            "city": "COPAKE",
            "state": "NY",
            "postal_code": "125161614",
            "telephone_number": "518-755-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 FARM RD",
            "city": "COPAKE",
            "state": "NY",
            "postal_code": "125161614",
            "telephone_number": "518-755-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TASSEL",
        "first_name": "ALISON",
        "middle_name": "HICKS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097056-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copake, NY

Sources for this page

Verify at the official NPI Registry.