Active NPI
Marie Warchol, LCSW
- Clinical Social Worker
- Cornwall on Hudson, NY
National Provider Identifier
1093861155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 027690
- 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, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy Keller, LCSW, LLC | Clinical | Current | 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.
-
dba Behavioral Health Services of the Hudson Valley
- Clinical Social Worker
- Newburgh, NY
- NPI 1982992889
-
- Mental Health Counselor
- Cornwall on Hudson, NY
- NPI 1003966011
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.