Individual provider Active NPI

Emily Smith, LCSW-R, BCD

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1073817672
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081127-1 Issued in NY
Practice address
5 Pine West PLZ Ste 511
Albany, NY 12205-5587
Phone
(518) 250-9637
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 081127-1 NY Primary

Addresses

Primary practice location

5 Pine West PLZ Ste 511
Albany, NY 12205-5587

Mailing address

5 Pine West PLZ Ste 511
Albany, NY 12205-5587
Phone (518) 250-9637

Other practice location 1

210 Church St
Saratoga Springs, NY 12866-1010
Phone (518) 209-2094

Other practice location 2

26 Century Hill Dr Ste 205
Latham, NY 12110
Phone (518) 209-2094

Other names 1

  • Ms. Emily Colton Former name

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
I20230301000849 NY Practitioner - Clinical Social Worker 2567835119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
081127-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northpointe Integrative, Inc. Clinical CurrentSince May 16, 2021 Accepting new patients

Locations

20 Corporate Woods Blvd
Ste 209
Albany, NY 12211
Phone (518) 250-6193

5 Pine West Plz
Ste 511
Albany, NY 12205
Phone (518) 248-9338

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1073817672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PINE WEST PLZ STE 511",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055587",
            "telephone_number": "518-250-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PINE WEST PLZ STE 511",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055587",
            "telephone_number": "518-250-9637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661010",
            "country_code": "US",
            "telephone_number": "518-209-2094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Century Hill Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "12110",
            "country_code": "US",
            "telephone_number": "518-209-2094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081127-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "COLTON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.