Mary Beth Carman, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R030374-1 Issued in NY

Practice address

614 Cooper Hill Rd
Wynantskill, NY 12198-2906

Phone

(518) 283-6500

Fax

(518) 283-7156

NPI assigned

Sep 24, 2012

Last updated

Sep 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vanderheyden Hall, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wynantskill, NY
  • NPI 1659565059
  NPD (past)

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1033460530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121980219",
            "telephone_number": "518-283-6500",
            "fax_number": "518-283-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 COOPER HILL RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121982906",
            "telephone_number": "518-283-6500",
            "fax_number": "518-283-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAN",
        "first_name": "MARY BETH",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R030374-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Barnard, RDN
• Patrick Paul Bergmann, MS,CCC
• Krystal Bohan
• Stephanie Jill Carbone, M.S. ED. CCC/SLP
• Anna Carey
• Amanda L Carter, PHARMD
• Cierra Casale, PT, DPT
• Danielle P. Victoria Cayne, MSW
• Melissa Chestara
• Madison Clark, MSW

• Clinical Social Worker in Wynantskill, NY
• Providers in Wynantskill, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.