Individual provider Active NPI

Keri Neary-Wood

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1306558002
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2159073 Issued in NY
Practice address
790 Lancaster St
Albany, NY 12203-1541
Phone
(518) 489-4431
NPI assigned
Dec 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2159073 NY Primary

Addresses

Primary practice location

790 Lancaster St
Albany, NY 12203-1541

Mailing address

PO Box 915
North Chatham, NY 12132-0915

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
I20230321001783 NY Practitioner - Clinical Social Worker 9335513076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ajs Mental Health Counseling PLLC 5 clinicians
Roman Catholic Diocese of Albany Ny 9 clinicians

Practice addresses (Care Compare)

430 E Allen St
Hudson, NY 12534-2576
Phone (518) 610-8449

790 Lancaster St
Albany, NY 12203-1541
Phone (518) 489-4431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2159073NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Roman Catholic Diocese of Albany Ny CurrentSince Mar 1, 2023 Accepting new patients
Ajs Mental Health Counseling, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Tanya D Mays MD PLLC Past Accepting new patients

Locations

790 Lancaster St
Albany, NY 12203
Phone (518) 489-4431

436 Union St
Hudson, NY 12534

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9716/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1306558002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 915",
            "city": "NORTH CHATHAM",
            "state": "NY",
            "postal_code": "121320915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LANCASTER ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031541",
            "telephone_number": "518-489-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEARY-WOOD",
        "first_name": "KERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "2159073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.