Bethany A Czernicki, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

11744601 Issued in NY

Practice address

1600 7TH Ave
Troy, NY 12180-3410

Phone

(518) 270-2646

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1174224646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WALKER AVE APT 8",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121448407",
            "telephone_number": "518-935-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803410",
            "telephone_number": "518-270-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZERNICKI",
        "first_name": "BETHANY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11744601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrick Cutway, PHARMD
• CVS Albany LLC
• Courtney Ann Cyr, DO
• Bridget Czaban, RPH
• Stacey Czamara, LMSW
• D. Joel Valentini
• Cynthia Lee Dack-Fauler, MS.ED.
• Robert Zaven Dadekian, M.D
• Peter Dallas, PH.D.
• S Jean Dallas, LPN, CASAC

• Social Worker in Troy, NY
• Providers in Troy, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.