Individual provider Active NPI

Dana M Foucault, LMSW

  • Clinical Social Worker
  • Saratoga Springs, NY
National Provider Identifier
1134899404
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102213-01 Issued in NY
Practice address
135 S Broadway
Saratoga Springs, NY 12866-4532
Phone
(518) 584-9030
NPI assigned
Sep 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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 102213-01 NY Primary

Addresses

Primary practice location

135 S Broadway
Saratoga Springs, NY 12866-4532

Mailing address

34 East St
Niskayuna, NY 12309-1012
Phone (518) 859-9913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102213-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga County CurrentSince Sep 23, 2021 Accepting new patients
Saratoga County PastSince Sep 23, 2021 Accepting new patients

Locations

135 S Broadway
Saratoga Springs, NY 12866
Phone (518) 584-9030

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1134899404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 EAST ST",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091012",
            "telephone_number": "518-859-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S BROADWAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664532",
            "telephone_number": "518-584-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCAULT",
        "first_name": "DANA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102213-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.