Individual provider Active NPI

Angelamaria Johanna Riedi, LCSW

  • Clinical Social Worker
  • Middletown, NY
National Provider Identifier
1174110084
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090074 Issued in NY
Practice address
10 Benton Ave
Middletown, NY 10940-5177
Phone
(845) 563-8000
NPI assigned
Dec 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 090074 NY Primary

Addresses

Primary practice location

10 Benton Ave
Middletown, NY 10940-5177

Mailing address

2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100

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
I20210305000401 NY Practitioner - Clinical Social Worker 3870909450 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Family HealthcareGroup PAC ID 4880610393, 67 clinicians
Access Supports for Living IncGroup PAC ID 8729992730, 41 clinicians

Practice addresses (Care Compare)

100 Broadway
Newburgh, NY 12550-5514
Phone (845) 569-8412

147 Lake St
Newburgh, NY 12550-5263
Phone (845) 563-8000

16 Union St
Middletown, NY 10940-4906
Phone (845) 343-5556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Healthcare CurrentSince Nov 18, 2024 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Dec 28, 2020 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Dec 28, 2020 Accepting new patients
Cornerstone Family Healthcare CurrentSince Nov 18, 2024 Accepting new patients

Locations

275 Chenango St
Binghamton, NY 13901
Phone (607) 201-1204

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

2570 US Highway 9W
Ste 10
Cornwall, NY 12518
Phone (845) 220-3100

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

10 Benton Ave
Middletown, NY 10940
Phone (845) 343-0881

260 N Little Tor Rd
New City, NY 10956
Phone (845) 634-4648

147 Lake St
Newburgh, NY 12550
Phone (845) 416-4325

99 Cameron St
Pine Bush, NY 12566
Phone (845) 744-2067

140 Hammond St
Port Jervis, NY 12771
Phone (845) 858-2854

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGCECD

Organizations & group practices 5

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": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1174110084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 ROUTE 9W STE 10",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181370",
            "telephone_number": "845-220-3100",
            "fax_number": "845-534-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BENTON AVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405177",
            "telephone_number": "845-563-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEDI",
        "first_name": "ANGELAMARIA",
        "middle_name": "JOHANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

Verify at the official NPI Registry.