Organization Active NPI

Joan Arnold, LCSW, P.C.

  • Clinical Social Worker
  • Blauvelt, NY
National Provider Identifier
1073211736
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JOAN ARNOLD, LCSW, P.C.
Practice address
81 Hickory St
Blauvelt, NY 10913-1910
Phone
(201) 390-5795
NPI assigned
Feb 21, 2023
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Joanie Arnold, LCSW, P.C.
Title
President
Phone
(201) 390-5795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

81 Hickory St
Blauvelt, NY 10913-1910

Mailing address

81 Hickory St
Blauvelt, NY 10913-1910
Phone (201) 390-5795

Other identifiers 1

IdentifierTypeStateIssuer
1891239828OtherNPI 1

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230515001369 NY Part B Supplier - Clinic/Group Practice 3971969114 Receives reassigned benefits from 1 practitioner
Practice locations: Blauvelt, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1073211736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HICKORY ST",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131910",
            "telephone_number": "201-390-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HICKORY ST",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131910",
            "telephone_number": "201-390-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN ARNOLD, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "JOANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-390-5795",
        "authorized_official_credential": "LCSW, P.C."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1891239828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blauvelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.