Active NPI
Barbara J Spada, LCSW
- Clinical Social Worker
- Rosendale, NY
National Provider Identifier
1215975495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R037355-1
- Practice address
- 449 Main Street
Rosendale, NY 12472-0310 - Phone
- (845) 454-4353
- Fax
- (888) 965-5621
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R037355-1 | NY | Primary |
Addresses
Primary practice location
449 Main Street
Rosendale, NY 12472-0310
Mailing address
PO Box 321
Port Ewen, NY 12466-0321
Phone (845) 454-4353
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110204000007 | NY | Practitioner - Clinical Social Worker | 0345420618 | Practice locations: Kingston, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2071 Route 32
Unit 1
Kingston, NY 12401-8561
Phone (845) 454-4353
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R037355-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1215975495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321",
"city": "PORT EWEN",
"state": "NY",
"postal_code": "124660321",
"telephone_number": "845-454-4353",
"fax_number": "888-965-5621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 MAIN STREET",
"city": "ROSENDALE",
"state": "NY",
"postal_code": "124720310",
"telephone_number": "845-454-4353",
"fax_number": "888-965-5621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADA",
"first_name": "BARBARA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R037355-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.