Individual provider Active NPI

Annemarie Lin Feddeck, LMSW

  • Social Worker
  • Tarrytown, NY
National Provider Identifier
1235005190
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
112028 Issued in NY
Practice address
660 White Plains Rd Ste 100
Tarrytown, NY 10591-5172
Phone
(914) 332-1300
NPI assigned
Oct 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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 112028 NY Primary

Addresses

Primary practice location

660 White Plains Rd Ste 100
Tarrytown, NY 10591-5172

Mailing address

660 White Plains Rd Ste 100
Tarrytown, NY 10591-5172
Phone (914) 332-1300

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

State licenses

LicenseStateTypeSpecialty
112028NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Student Assistance Services Corporation CurrentSince Oct 21, 2025 Accepting new patients

Locations

660 White Plains Rd
Ste 100
Tarrytown, NY 10591
Phone (914) 332-1300

Organizations & group practices 1

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1235005190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 100",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915172",
            "telephone_number": "914-332-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD STE 100",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915172",
            "telephone_number": "914-332-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDECK",
        "first_name": "ANNEMARIE",
        "middle_name": "LIN",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.