Darcy Elias Hathaway, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079182 Issued in NY

Practice address

22 US Oval
Suite 218
Plattsburgh, NY 12903-5900

Phone

(518) 563-8293

NPI assigned

Apr 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

North Country Behavioral Medicine PLLCGroup PAC ID 2668744756, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Country Behavioral Medicine PLLC

  • Psychiatry Physician
  • Plattsburgh, NY
  • NPI 1881121234
  Medicare reassignment Care Compare group NPD
• Clinton County

  • Mental Health Counselor
  • Plattsburgh, NY
  • NPI 1164465902
  Medicare reassignment NPD
• Clinton County

  • Clinic/Center
  • Plattsburgh, NY
  • NPI 1114979945
  NPD
• Behavioral Health Services North, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Queensbury, NY
  • NPI 1447005541
  NPD (past)
• Behavioral Health Services North, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morrisonville, NY
  • NPI 1689621468
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401062400000",
    "number": "1053584052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL",
            "address_2": "SUITE 218",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035900",
            "telephone_number": "518-563-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 US OVAL",
            "address_2": "SUITE 218",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035900",
            "telephone_number": "518-563-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHAWAY",
        "first_name": "DARCY",
        "middle_name": "ELIAS",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2014-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072615",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell W Hartung, MD
• Krystal Hasel, MD
• Katie Haselton
• Brent Wood Hastings, MD
• Jessica Rae Hatfield, RPAC
• Mark Hatton
• Linda Marie Haubner, FNP
• Carla Kay Hausrath, R.N., N.P.
• Jenna Hayden, MSED
• Annette Waffner Head

• Clinical Social Worker in Plattsburgh, NY
• Providers in Plattsburgh, 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 May 26, 2014; 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.

Verify at the official NPI Registry.