Individual provider Active NPI

Marie Warchol, LCSW

  • Clinical Social Worker
  • Cornwall on Hudson, NY
National Provider Identifier
1093861155
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
027690 Issued in NY
Practice address
276 Hudson Street
Hudson Center
Cornwall on Hudson, NY 12520
Phone
(845) 534-2926
Fax
(845) 534-3518
NPI assigned
Jan 25, 2007
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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 027690 NY Primary

Addresses

Primary practice location

276 Hudson Street
Hudson Center
Cornwall on Hudson, NY 12520

Mailing address

17 Van Alst St
New Paltz, NY 12561
Phone (845) 255-7469

Other names 1

  • Marie Brunner 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
I20120802000382 NY Practitioner - Clinical Social Worker 4789830050 Practice locations: New Paltz, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

New Paltz, NY 12561
Phone (845) 527-4959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Keller, LCSW, LLC Clinical CurrentSince Jul 1, 2012 Accepting new patients
The Hudson Center Past Accepting new patients

Locations

633 Gidney Ave
Ste 6
Newburgh, NY 12550
Phone (845) 242-8375

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1093861155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VAN ALST ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "12561",
            "telephone_number": "845-255-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 HUDSON STREET",
            "address_2": "HUDSON CENTER",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "12520",
            "telephone_number": "845-534-2926",
            "fax_number": "845-534-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARCHOL",
        "first_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "027690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BRUNNER",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cornwall on Hudson, NY

Sources for this page

Verify at the official NPI Registry.