Janet Miner Concklin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR22419 Issued in NY

Practice address

112 N Grant Ave
Congers, NY 10920

Phone

(845) 268-5295

Fax

(845) 268-2226

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255460549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N GRANT AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "10920",
            "telephone_number": "845-268-5295",
            "fax_number": "845-268-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N GRANT AVE",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "10920",
            "telephone_number": "845-268-5295",
            "fax_number": "845-268-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCKLIN",
        "first_name": "JANET",
        "middle_name": "MINER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR22419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "145791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antoinette A Celetti, OTR/L
• Andrea Cioffi
• Gail Cirlin-Lazerus, LCSW
• Clarkstown Dental Practice PC
• Community Care Pharmacy Inc
• Congers Dental Arts
• Congers Dental Care, P.C.
• Congers Pharmacy Inc
• Congers RX LLC
• Congers Valley Cottage Volunteer Ambulance Corps Inc

• All providers in Congers, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.