Relani Prudhomme, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095815 Issued in NY

Practice address

73 Buck St Apt B
Canton, NY 13617-1384

Phone

(315) 212-1815

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Relani Michelle Prudhomme Former name

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

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians

Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rprudhomme@cahclinics.medentdirect.com
• Direct secure messaging: relani.prudhomme@claxton.eclinicaldirectplus.com

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.

• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388

  Social Worker

  Medicare reassignment Care Compare group NPD
• Claxton-Hepburn Medical Center

  dba Practice Resources LLC

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034
  Medicare reassignment Care Compare group NPD
• Carthage Area Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ogdensburg, NY
  • NPI 1013759166
  NPD
• Carthage Area Hospital Inc.

  • Urology Physician
  • Carthage, NY
  • NPI 1720269863
  NPD
• St Lawrence County

  • Community/Behavioral Health Agency
  • Canton, NY
  • NPI 1699898635

  Social Worker

  NPD (past)
• St Lawrence County

  dba St Lawrence County Public Health - Clinic

  • Multi-Specialty Clinic/Center
  • Canton, NY
  • NPI 1861551822
  NPD (past)

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1265900526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 BUCK ST APT B",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171384",
            "telephone_number": "315-212-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BUCK ST APT B",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171384",
            "telephone_number": "315-212-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 King Street",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "13669",
            "country_code": "US",
            "telephone_number": "315-713-5720",
            "fax_number": "315-713-5741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUDHOMME",
        "first_name": "RELANI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "065968",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RELANI",
            "last_name": "PRUDHOMME",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "credential": "LMSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christin Powers, PA
• Rochelle L Pratt, RN
• Michael Paul Preston
• Patti L Prouty, OTR
• Cynthia J Provow, MD
• Brooke C Pryce
• R R S Inc (Canton Optical)
• R.B. Lawrence Inc.
• Terry M. Rafferty, LMSW
• Gidget Q.V. Rafus-Rousell, CASAC II

• Clinical Social Worker in Canton, NY
• Providers in Canton, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.