Individual provider Active NPI

Michele A Zinoman-Baldwin LCSW-R, LCSW

  • Clinical Social Worker
  • Albany, NY
National Provider Identifier
1336158435
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R046866-1 Issued in NY
Practice address
409 New Karner Rd
Albany, NY 12205-3883
Phone
(518) 522-4458
Fax
(518) 456-3689
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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 R046866-1 NY Primary

Addresses

Primary practice location

409 New Karner Rd
Albany, NY 12205-3883

Mailing address

409 New Karner Rd
Albany, NY 12205-3883
Phone (518) 522-4458

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
I20040622000579 NY Practitioner - Clinical Social Worker 2961487145 Practice locations: Albany, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R046866-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates Clinical Past Accepting new patients
Northeast Psychological Associates PLLC Clinical PastSince Jul 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1336158435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053883",
            "telephone_number": "518-522-4458",
            "fax_number": "518-456-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053883",
            "telephone_number": "518-522-4458",
            "fax_number": "518-456-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINOMAN-BALDWIN LCSW-R",
        "first_name": "MICHELE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046866-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.