Individual provider Active NPI

Annmarie Colandrea, LCSW

  • Clinical Social Worker
  • Cornwall, NY
National Provider Identifier
1093143208
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080345 Issued in NY
Practice address
10 Elm St Ste 1
Cornwall, NY 12518-1486
Phone
(845) 288-2672
NPI assigned
Oct 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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 080345 NY Primary

Addresses

Primary practice location

10 Elm St Ste 1
Cornwall, NY 12518-1486

Mailing address

10 Elm St Ste 1
Cornwall, NY 12518-1486
Phone (845) 288-2672

Other practice location 1

10 Elm St Ste 1
Cornwall, NY 12518-1486
Phone (845) 288-2672

Other names 1

  • Annmarie Zamir Other 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
I20150928000825 NY Practitioner - Clinical Social Worker 8921316894 Reassigns benefits to 2 organizations
Practice locations: Cornwall, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Quaker Ave
Cornwall, NY 12518-2113
Phone (845) 288-2672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080345NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
East Orange Psychiatric Associates, LLP Clinical CurrentSince Jul 1, 2015 Accepting new patients
Therapy in Motion LLC Clinical CurrentSince Feb 14, 2021 Accepting new patients
Walentin Chiropractic, P.C. PastSince Jan 3, 2006 Accepting new patients

Locations

16 Quaker Ave
Stop 3
Cornwall, NY 12518
Phone (845) 288-2672

400 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 534-2900

Organizations & group practices 4

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": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1093143208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ELM ST STE 1",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181486",
            "telephone_number": "845-288-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ELM ST STE 1",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181486",
            "telephone_number": "845-288-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Elm St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cornwall",
            "state": "NY",
            "postal_code": "125181486",
            "country_code": "US",
            "telephone_number": "845-288-2672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLANDREA",
        "first_name": "ANNMARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNMARIE",
            "last_name": "ZAMIR",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cornwall, NY

Sources for this page

Verify at the official NPI Registry.