Active NPI
Alison Hicks Van Tassel, LCSW
- Clinical Social Worker
- Copake, NY
National Provider Identifier
1023860749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 097056-01
- Practice address
- 384 Farm Rd
Copake, NY 12516-1614 - Phone
- (518) 755-0207
- NPI assigned
- Apr 4, 2024
- Last updated
- Apr 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 097056-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia County | Current | Accepting new patients | |
| Columbia County | Current | 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.
-
dba Columbia County Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hudson, NY
- NPI 1689618977
-
- Ambulance
- Hudson, NY
- NPI 1972056026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.