Individual provider Active NPI

Michele Karen Sevigny, LMSW

  • Case Manager/Care Coordinator
  • Monroe, NY
National Provider Identifier
1265929228
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
093944-1 Issued in NY
Practice address
101 Stage Rd
Monroe, NY 10950-3512
Phone
(845) 827-6227
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 093944-1 NY Primary

Addresses

Primary practice location

101 Stage Rd
Monroe, NY 10950-3512

Mailing address

402 Downing Way
Newburgh, NY 12550-1994
Phone (845) 629-7552

Other practice location 1

402 Downing Way
Newburgh, NY 12550-1994
Phone (845) 629-7552

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
093944-1NYMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1265929228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 DOWNING WAY",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501994",
            "telephone_number": "845-629-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STAGE RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503512",
            "telephone_number": "845-827-6227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Downing Way",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125501994",
            "country_code": "US",
            "telephone_number": "845-629-7552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVIGNY",
        "first_name": "MICHELE",
        "middle_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "093944-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.