Individual provider Active NPI

Carolyn Creary

  • Clinical Social Worker
  • Mahopac, NY
National Provider Identifier
1104175983
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087694 Issued in NY
Practice address
18 Miller Rd
Mahopac, NY 10541-2220
Phone
(845) 628-2300
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 087694 NY Primary

Addresses

Primary practice location

18 Miller Rd
Mahopac, NY 10541-2220

Mailing address

10 Briarcliff Dr S Unit 10
Ossining, NY 10562-2345
Phone (914) 325-2835

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
I20230808001341 NY Practitioner - Clinical Social Worker 6800258807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kristen E Caroprese LCSW PLLCGroup PAC ID 3779821491, 13 clinicians

Practice addresses (Care Compare)

18 Miller Rd
Mahopac, NY 10541-2220
Phone (845) 628-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087694NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen E Caroprese LCSW PLLC CurrentSince Jun 17, 2023 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Jun 17, 2023 Accepting new patients
Westchester Jewish Community Services Inc. PastSince Mar 1, 2005 Accepting new patients
Westchester Jewish Community Services Inc. PastSince Apr 30, 2023 Accepting new patients

Locations

18 Miller Rd
Mahopac, NY 10541
Phone (845) 628-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1104175983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRIARCLIFF DR S UNIT 10",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105622345",
            "telephone_number": "914-325-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MILLER RD",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105412220",
            "telephone_number": "845-628-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREARY",
        "first_name": "CAROLYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

Verify at the official NPI Registry.