Individual provider Active NPI

David Michael Campanaro, LCSW

  • Clinical Social Worker
  • Lagrangeville, NY
National Provider Identifier
1033351978
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080675 Issued in NY
Practice address
129 Stringham Rd Apt 5
Lagrangeville, NY 12540-5542
Phone
(845) 702-2400
NPI assigned
Mar 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 080675 NY Primary

Addresses

Primary practice location

129 Stringham Rd Apt 5
Lagrangeville, NY 12540-5542

Mailing address

PO Box 76
Lagrangeville, NY 12540-0076
Phone (845) 702-2400

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
I20150421001240 NY Practitioner - Clinical Social Worker 3971821000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1785 Route 9
Suite 106
Halfmoon, NY 12065-2449

Hospital & facility affiliations

  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080675NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David Campanaro LCSW PLLC Clinical CurrentSince May 11, 2025 Accepting new patients
Hudson Vista Medical,PC CurrentSince Jul 3, 2023 Accepting new patients

Locations

19 Laurel Ave
Ste LL1
Cornwall, NY 12518
Phone (845) 534-7080

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1033351978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125400076",
            "telephone_number": "845-702-2400",
            "fax_number": "845-291-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 STRINGHAM RD APT 5",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405542",
            "telephone_number": "845-702-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANARO",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrangeville, NY

Sources for this page

Verify at the official NPI Registry.