Individual provider Active NPI

Hiangwoo Nam

  • Social Worker
  • Highland, NY
National Provider Identifier
1184634487
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
036483-1 Issued in NY
Practice address
8 Diana RDG
Highland, NY 12528-1542
Phone
(845) 831-2000
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 036483-1 NY Primary

Addresses

Primary practice location

8 Diana RDG
Highland, NY 12528-1542

Mailing address

8 Diana Ridge Rd
Highland, NY 12528-1542

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
I20191028002431 NY Practitioner - Clinical Social Worker 4284966060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doree Lipson LCSW PCGroup PAC ID 3678873965, 3 clinicians

Practice addresses (Care Compare)

257 Main St
New Paltz, NY 12561-1610
Phone (845) 532-6064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036483-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Doree Lipson, LCSW PC CurrentSince Sep 1, 2020 Accepting new patients
T Grant PHD CurrentSince Sep 1, 2020 Accepting new patients

Locations

257 Main St
New Paltz, NY 12561
Phone (845) 256-9528

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1184634487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DIANA RIDGE RD",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DIANA RDG",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125281542",
            "telephone_number": "845-831-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "HIANGWOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "036483-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

Verify at the official NPI Registry.