Active NPI
Stephanie Marie Abbatello, LCSW
- Clinical Social Worker
- Hudson Falls, NY
National Provider Identifier
1245769751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090002
- Practice address
- 27 Country Acres Dr
Hudson Falls, NY 12839-9468 - Phone
- (518) 681-2153
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 090002 | NY | Primary |
Addresses
Primary practice location
27 Country Acres Dr
Hudson Falls, NY 12839-9468
Mailing address
27 Country Acres Dr
Hudson Falls, NY 12839-9468
Phone (518) 681-2153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00314998 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 090002 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1245769751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 COUNTRY ACRES DR",
"city": "HUDSON FALLS",
"state": "NY",
"postal_code": "128399468",
"telephone_number": "518-681-2153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 COUNTRY ACRES DR",
"city": "HUDSON FALLS",
"state": "NY",
"postal_code": "128399468",
"telephone_number": "518-681-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBATELLO",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00314998",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.