Individual provider Active NPI

Veronica Depolito, LCSW

  • Clinical Social Worker
  • Monticello, NY
National Provider Identifier
1285342089
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099223 Issued in NY
Practice address
162 E Broadway
Monticello, NY 12701-8815
Phone
(845) 796-1350
NPI assigned
Nov 10, 2022
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 062521-1 NY
Clinical Social Worker 1041C0700X 099223 NY Primary

Addresses

Primary practice location

162 E Broadway
Monticello, NY 12701-8815

Mailing address

532 Logtown Rd
Port Jervis, NY 12771-3430
Phone (845) 775-9064

Other practice location 1

300 Cadman Plz W
Brooklyn, NY 11201-3229
Phone (323) 205-7088

Other practice location 2

100 Main Street
Philmont, NY 12565
Phone (914) 745-6291

Other practice location 3

75 Crystal Run Rd Ste 201
Middletown, NY 10941-7010
Phone (845) 692-4391

Other names 1

  • Mrs. Veronica Boyle - Grell Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250612002518 NY Practitioner - Clinical Social Worker 1052822566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University Medical College - NLG, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc Sullivan County ChapterGroup PAC ID 2668473729, 21 clinicians

Practice addresses (Care Compare)

357 Mt Hope Rd
Middletown, NY 10940-7135
Phone (845) 343-0871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062521-1NYMDSocial Worker
099223NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Sullivan County Chapter CurrentSince Apr 4, 2025 Accepting new patients

Locations

357 Mt Hope Rd
Middletown, NY 10940
Phone (845) 343-0871

162 E Broadway
Monticello, NY 12701
Phone (845) 796-1350

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1285342089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LOGTOWN RD",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127713430",
            "telephone_number": "845-775-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 E BROADWAY",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127018815",
            "telephone_number": "845-796-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Cadman Plz W",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112013229",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Main Street",
            "address_purpose": "LOCATION",
            "city": "Philmont",
            "state": "NY",
            "postal_code": "12565",
            "country_code": "US",
            "telephone_number": "914-745-6291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Crystal Run Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109417010",
            "country_code": "US",
            "telephone_number": "845-692-4391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEPOLITO",
        "first_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "062521-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "BOYLE - GRELL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monticello, NY

Sources for this page

Verify at the official NPI Registry.