Individual provider Active NPI

Christine Elaine Schaetzl, LCSW-R

  • Clinical Social Worker
  • Croton on Hudson, NY
National Provider Identifier
1053597179
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072077 Issued in NY
Practice address
1392 Albany Post Rd
Suite 2E, Office 4
Croton on Hudson, NY 10520-1559
Phone
(845) 232-0396
Fax
(914) 402-4209
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072077 NY Primary
Social Worker 104100000X 072077 NY

Addresses

Primary practice location

1392 Albany Post Rd
Suite 2E, Office 4
Croton on Hudson, NY 10520-1559

Mailing address

1392 Albany Post Rd Ste Eoffice4
Croton on Hudson, NY 10520-1559
Phone (845) 232-0396

Other identifiers 1

IdentifierTypeStateIssuer
02988452MedicaidNY

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
I20100918000125 NY Practitioner - Clinical Social Worker 3971628686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1392 Albany Post Rd
Suite Eoffice4
Croton on Hudson, NY 10520-1559
Phone (845) 232-0396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072077NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Elaine Schaetzl LCSW PLLC Social Worker CurrentSince Dec 1, 2020 Accepting new patients
Brandi Perusomala LCSW PLLC Clinical PastSince Aug 1, 2020 Accepting new patients

Locations

1392 Albany Post Rd
Ste 2E
Croton on Hudson, NY 10520
Phone (845) 232-0396

1111 Route 9
Ste 1
Garrison, NY 10524
Phone (845) 202-0715

8 John Walsh Blvd
Ste 200B
Peekskill, NY 10566
Phone (845) 232-0396

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.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1053597179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 ALBANY POST RD STE EOFFICE4",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201559",
            "telephone_number": "845-232-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 ALBANY POST RD",
            "address_2": "SUITE 2E, OFFICE 4",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201559",
            "telephone_number": "845-232-0396",
            "fax_number": "914-402-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAETZL",
        "first_name": "CHRISTINE",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2024-08-08",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072077",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02988452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.