Individual provider Active NPI

Andrew Garrison Price, L.C.S.W. - R

  • Clinical Social Worker
  • Vestal, NY
National Provider Identifier
1194917583
Registry record updated Feb 12, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Oct 20, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R077411 Issued in NY
Practice address
9578 State Route 434
Vestal, NY 13850-1070
Phone
(607) 725-9107
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 R077411 NY Primary

Addresses

Primary practice location

9578 State Route 434
Vestal, NY 13850-1070

Mailing address

9578 State Route 434
Vestal, NY 13850-1070
Phone (607) 725-9107

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
R077411NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1194917583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9578 STATE ROUTE 434",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501070",
            "telephone_number": "607-725-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9578 STATE ROUTE 434",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501070",
            "telephone_number": "607-725-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "ANDREW",
        "middle_name": "GARRISON",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W. - R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R077411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.