Active NPI
Regina Kreppel, LCSW
- Clinical Social Worker
- Congers, NY
National Provider Identifier
1154032779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 084324
- Practice address
- 65A N Grant Ave
Congers, NY 10920-1934 - Phone
- (845) 461-1276
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| 084324 | NY | MD | Clinical Social Worker |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Clinical Social Worker | 1041C0700X | 084324 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
65A N Grant Ave
Congers, NY 10920-1934
Mailing address
75 Lake Rd PO Box 207
Congers, NY 10920-0207
Phone (631) 365-3469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2022.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1154032779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 LAKE RD PO BOX 207",
"city": "CONGERS",
"state": "NY",
"postal_code": "109200207",
"telephone_number": "631-365-3469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65A N GRANT AVE",
"city": "CONGERS",
"state": "NY",
"postal_code": "109201934",
"telephone_number": "845-461-1276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREPPEL",
"first_name": "REGINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "084324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Congers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.