NPIMap

Organization Active NPI

Community Work and Independence, Inc.

  • Developmental Disabilities Clinic/Center
  • Glens Falls, NY
National Provider Identifier
1114131075
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
02249136 Issued in NY
Legal business name
COMMUNITY WORK AND INDEPENDENCE, INC.
Practice address
37 Everts Ave
Glens Falls, NY 12804-2040
Phone
(518) 793-4700
Fax
(518) 743-1061
NPI assigned
May 10, 2007
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
April Boucher
Title
Avp of Operations
Phone
(518) 793-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 02249136 NY Primary

Addresses

Primary practice location

37 Everts Ave
Glens Falls, NY 12804-2040

Mailing address

PO Box 303
Accounting Department
Glens Falls, NY 12801-0303
Phone (518) 745-8084

Other names 1

  • Foothills Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041013001321 NY Part B Supplier - Clinic/Group Practice 2961462924 Receives reassigned benefits from 7 practitioners
Practice locations: Queensb Ury, NY

National Provider Directory

National Provider Directory
Tax ID family
Community Work and Independence Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1114131075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "address_2": "ACCOUNTING DEPARTMENT",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010303",
            "telephone_number": "518-745-8084",
            "fax_number": "518-745-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 EVERTS AVE",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128042040",
            "telephone_number": "518-793-4700",
            "fax_number": "518-743-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WORK AND INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "AVP OF OPERATIONS",
        "authorized_official_telephone_number": "518-793-4700"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "02249136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothills Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.