Individual provider Active NPI

Richard Hanemann, LCSW-R

  • Clinical Social Worker
  • Cortlandt Manor, NY
National Provider Identifier
1033445010
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73071282 Issued in NY
Practice address
7,Croton Ave
Cortlandt Manor, NY 10567-4329
Phone
(914) 962-5800
Fax
(815) 301-5504
NPI assigned
Oct 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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 73071282 NY Primary

Addresses

Primary practice location

7,Croton Ave
Cortlandt Manor, NY 10567-4329

Mailing address

7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800

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
I20140801001782 NY Practitioner - Clinical Social Worker 5799901468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medagent CorpGroup PAC ID 4789900796, 27 clinicians

Practice addresses (Care Compare)

7 Croton Ave
Cortlandt Manor, NY 10567-5203
Phone (914) 962-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73071282NYMDClinical Social Worker
071282NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medagent Corp CurrentSince Dec 22, 2016 Accepting new patients

Locations

7 Croton Ave
Cortlandt Mnr, NY 10567
Phone (914) 962-5800

Organizations & group practices 1

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": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1033445010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CROTON AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105675203",
            "telephone_number": "914-962-5800",
            "fax_number": "815-301-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7,CROTON AVE",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674329",
            "telephone_number": "914-962-5800",
            "fax_number": "815-301-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEMANN",
        "first_name": "RICHARD",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73071282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.